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Home My WebLink About350732 STURGEON ELECTRIC COMPANY - INSURANCE CERTIFICATE (3)A� O® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/11 /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 endorsements . PRODUCER CONTACT NAME: Shannon Lentz Arthur J. Gallagher Risk Management Services, Inc. PHONE 630 285-4418 FAX No): 630-285-3922 2850 Golf Road - — Rolling Meadows IL 60008 EMAIL , shannon_Ientz@ajg.com INSURERS AFFORDING COVERAGE NAIC 8 INSURERA:Zurich American Insurance Company 16535 INSURED MYRGROU-01 INSURERB:American Zurich Insurance Company 40142 Sturgeon Electric Company, Inc. INSURERC: 12150 E. 112th Avenue Henderson, CO 80640 INSURERD: _ nwrnArrc rr0r1n11Arr Ruleanrm. 17nR9dRF1;S Dr\rICInRl I illiliIRCD- 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 INS POLICY NUMBER POLICY EFF DNYYY POLICY EXP MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Y GLO837415423 9/30/2017 9/30/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence) $100,000 MED EXP (An one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JECT OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y BAP837415521 9/30/2017 9/30/2018MBINED Ea NGLE LlMrr_ accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC837415221 (A/O/S) WC837415321 (MA/WI) 9/30/2017 9/30/2017 9/30/2018 9/30/2018 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE,$1,000,000 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) Job: City of Fort Collins - T&M Service rGDTIFIrATI= N(11 nI7D CANCFI 1 ATICIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1542 The City of Fort Collins Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins CO 80522 USA AUTHORIZED REPRESENTATIVE �— V 19873-ZU15 ACUFiU GUKNUKA I IUIV. fill rlgnt5 reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD