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HomeMy WebLinkAbout325120 PRECISION SERVICE ELECTRIC INC - INSURANCE CERTIFICATE (6)PRECI-3 : M DATE (MM/201� A` �R� CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 303-962-0811 CONTACT PHONE 303-962-0811 FAX 303-962-0817 A/C, No, Ext): (A/C, No): Freeman Insurance West 405 Urban St, Suite 130 E-MAIL melanieb@freemaninswest.com Lakewood, CO 80228-1211 Susan V. Freeman Fischer, CIC INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Ins Co 22357 INSURED Precision Service Electric Inc PO Box 1866 Loveland, CO 80539 INSURER B : Hartford Underwriters Ins Co 22357 Twin CityFire Ins Co INSURER C : `� 22357 INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NIIMRFR: 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 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 LTRA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 34SBQIS9429 09/01/2017 09/01/2018 EACH OCCURRENCE $ 1,000,000 PREMIAMAETORENTED nc $ 1,000,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,0W GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X JERCOT LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -AWNED AUTOS ONLY AUTOS ONLY L 34UECJJ2777 09/01/2017 09/01/2018 COMBINED SINGLE LIMIT cci ent Eaccident, 1,000,000 $ BODILY INJURY Per person)$ BODILY INJURY Per accident $ PROPERTY AMAGE Per accident $ $ A X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE 34SBOIS9429 09/01/2017 09/01/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DIED I X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 34WECZG4668 09/01/2017 09/01/2018 X PER T OR H STAC E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,006 E.L. DISEASE - POLICY LIMIT 500 000 ' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by the Insured. All coverage terms, conditions and exclusions of the policy apply. CITYFA 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD