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HomeMy WebLinkAboutINNOVATIVE ELECTRICAL SYSTEMS INC - INSURANCE CERTIFICATE (2)C I ie nt#: 1084545 INNOVELEI ACORDT, CERTIFICATE OF LIABILITY INSURANCE DATE 2/01/2017(MM/DD/YYYY) 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 NAME: USI Colorado, LLC Prof Liab PHONE 800 873-8500 FAX a/C, No, Ext : A/C, No): P.O. Box 7050 E-MAIL Englewood, CO 80155 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 Hartford Insurance Com 29424 INSURER A : Casualty INSURED INSURERS: Hartford Ins CO of the Midwest 37478 Innovative Electrical Systems Inc. INSURER C:XL Specialty Insurance Company 37885 7550 W Yale Ave., Suite B130 Denver, CO 80227 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY 34SBWLN3274 1/22/2017 01/22/2018 EACH OCCURRENCE $1 OOO 000 CLAIMS -MADE ^ OCCUR PREMISES Ea occur ence $ 300 000 MED EXP (Any one person) $10 000 _ PERSONAL BADVINJURY $1,000,000 L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO - POLICY X JECT LOC rl''OTHER: PRODUCTS - COMP/OP AGG $2,000,000 $ • AUTOMOBILE LIABILITY 34SBWLN3274 1/22/2017 01/22/201 EeaocideDSINGLELIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ XHIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N / A 34WEGKE5825 1/22/2017 01/22/2018 X IsPTEAROTH. TuTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional DPS9910661 01/22/2017 01/22/201 $2,000,000 per claim Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability and Designated Insured under Automobile Liability, but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability and Automobile Liability (See Attached Descriptions) The City of Fort Collins c/o Aller-Lingle-Massey Architects PC PO Box 580 Fort Collins, CO 80522 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 �C ACORD 25 (2014/01) 1 of 2 #S19786129/M19783794 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MDKZP DESCRIPTIONS (Continued from Page 1) insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Workers Compensation. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. RE: Project: South Transit Center Additional Insured: The City of Fort Collins SAGITTA 25.3 (2014/01) 2 of 2 #S19786129/M19783794