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HomeMy WebLinkAboutFIRST RESPONSE ELECTRIC LLC - INSURANCE CERTIFICATEFIRST-7 CIP ID: KLJ
ACORO ATE (MMlDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE D05/18/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER 970-674-8825 CONTACT Michael T Ball
NAME:
Renaissance Insurance Group PHONE 970-674-8825 FAX 970-674-8826
P O Box 478 INC, No, Ext): (A/C, No
101 E Main Street E-MAIL ADDRESS; mball@reninsurance.com
Windsor, CO 80550
Michael T Ball INSURERS AFFORDING COVERAGE NAIC #
nsurance
INSURED First Response Electric LLC INSURERB:
PO Box 270644 INSURER C :
Fort Collins, CO 80527
INSURER D :
INSURER E :
INSURER F :
r n%1P0Af=FC r P0TII=ICATG Al11MRGD• DG\ACIAN KII IMRFA-
1785
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LIR
TYPE OF INSURANCE
ADDL
SUBR
_ POLICY NUMBER
POLICY EFF
MM/DD/Y Y
POLICY EXP
MM/ Y
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE [ X] OCCUR
BKS58003564
05/08/2017
05/08/2018
DAMAGE TO RENTED
PREMISES (Ea occ rrnce)MED
$ 300,000
EXP (Any oneperson)
$ 15,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY �X EIQT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY Per rson
$
ANY AUTO
OWNED SCHEDULED
BAS58003564
06/08/2017
05/08/2018
AUTOS ONLY AUTOS
BODILY INJURY Per accident
$
PROPERTY DAMAGE
Per accident
$
HIRED NON %IED
AUTOS ONLY AUTOJONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
�EXCESS
AGGREGATE
$
LIAB
CLAIMS -MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
IPERTUTE I I OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED? N / A
(Mandatory in NH)
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
� 2 1Q34 PERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Subject to policy forms, conditions, definitions and exclusions.
CITYOFF
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE ,J
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo ary registered marks of ACORD