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HomeMy WebLinkAbout104571 GREGORY ELECTRIC INC - INSURANCE CERTIFICATE (12)AC" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/VYYY) 9/6/2017 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 NAME: Dana Stewart, CIC, CISR Flood and Peterson PHONN Ext: 970 266 7149 AX No:970 506 6845 PO Box 578 ADDRESS,DStewart@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURERA:Charter Oak Fire Insurance Company 25615 INSURED INSURERB:Travelers Property Casualty Company 25674 Gregory Electric, Inc. INSURERC:Travelers Indemnity Company 25658 3317 N. Lincoln Ave. INSURERD: PO Box 2373 INSURERE: Loveland CO 80539 INSURERF: COVERAGES CFRTIFICATF NIIMRFR-GL/AU/XS x10/18 WC x7/18 RFVICInM KIIIRAQPQ- 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 LTR TYPE OF INSURANCE ADDL SUBR I POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MWDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx7 OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Anyone person) $ 10,000 DT-CO-5D974152-COF-17 10/1/2017 10/1/2018 PERSONAL & ADV INJURY $ 1, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEo —] LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DT-810-5D974152-TIL-17 10/1/2017 10/1/2018 BODILY INJURY Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE $ DIED I X ,RETENTION$ 10,000 CUP-8J590281-17-26 10/1/2017 10/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N C (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below N/A UB-7J036468-17-26-G 7/1/2017 7/1/2018 X STER I ATUTE ORTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Exhibit Lighting for Fort Collins Museum of Discovery. The City of Fort Collins, its officers, agents and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. l,l I II-K.A I t 11ULULK L.ANUtLLA I IUN City of Fort Collins Purchasing Dept PO Box 580 Fort Collins, CO 80522-0000 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 D Stewart, CIC, CISR/ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)