HomeMy WebLinkAboutADVANCED ELECTRICAL SERVICES - INSURANCE CERTIFICATE (4)DATE (MM/DD/YYYY)
07/17/2018
FICATE HOLDER. THIS
PIOLICIES BELOW. THIS
REPRESENTATIVE OR
ions or be endorsed. If
It. A statement on this
507-446-4664
NAIC #
ANY
13935
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
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 7 OCCUR
BUSINESS OWNER'S LIABILITY
N
N
9160853
09/03/2018
09/03/2019
EACH OCCURRENCE
$1,000,000
DAMAGE To
PREMISES Ea occurrence)
$100,000
_7RENTED
X
MED EXP (Any one person)
GEN'L
X
PERSONAL & ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO
JECT ❑ LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS -COMP/OP AGG
$2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
SCHEDULED
OWNED AUTOS ONLY AUTOS
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per acciden
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
PER STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
256-137-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
50
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
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