The URL can be used to link to this page

Home My WebLink AboutFISKE INC DBA FISKE ELECTRIC - INSURANCE CERTIFICATE (12)ACO © DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 2/21/2017 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 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 CONTACT Kylie Carey, CISR Flood and Peterson ACNE xt: (970)266-7148 NC No: (970)506-6845 PO Box 578 E;M'L��.KCarev@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER ACincinnati Insurance Co _ _ 10677 INSURED INSURERB:Pinnacol Assurance 41190 Fiske, Inc. Dba Fiske Electric INSURERC: 6766 E . County Road 18 INSURER D : INSURER E : Johnstown CO 80534 INSURERF: COVFRAGFS CFRTIFICATF NI IMRFR•CL1722116289 RFVISIr1N NI IMRFR- 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. ILTRR TYPE OF INSURANCE ADDL U R POLICY NUMBER MMIDDY(YYYY MMILDDYIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE a OCCUR DAMAGES ( RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 EPP0168559 11/15/2016 11/15/2017 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENT POLICY FX] JEO- D LOC PRODUCTS - COMP/OP AGG $ 2,000,000 BLWOS $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS EPP0168559 11/15/2016 11/15/2017 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined X Drive Other Car $ 1,000,000 X UMBRELLA LIAB Xd OCCUR EACH OCCURRENCE $ 3, 000 000 AGGREGATE $ 3,000,000 A EXCESS LIAB CLAIMS -MADE DED I X RETENTION$ 0 $ EPP0168559 11/15/2016 11/15/2017 B WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? " J (Mandatory in NH) If yes, describe under N/A 4066524 3/1/2017 3/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 A I I Leased/Rented Equipment EPP0168559 11/15/2016 11/15/2017 $50,000 Limit/$1,000 Ded. A Limited Liability Pollution EPP0168559 11/15/2016 11/15/2017 $300,000/$300, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 L,ANt„tLLA I IL)N 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 K Carey, CISR/KCAREY��—r??� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 ooiArm