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HomeMy WebLinkAbout325120 PRECISION SERVICE ELECTRIC INC - INSURANCE CERTIFICATE (7)P REC I-3 OP ID: MQ DATE (MM/DD/YYYY) 08/15/2018 iACO/Q'CJ 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 Freeman Insurance West 405 Urban St, Suite 130 Lakewood, CO 80228-1211 CONTNAME:ACT PHONE 303-962-0811 1 FAX 303-962-0817 I.C, No, Ext : ac, No E-MAIL melaniebr@freemaninswest.com Susan V. Freeman Fischer, CIC INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Ins Co 22357 INSURED Precision Service Electric Inc INSURERB:Hartford Underwriters Ins Co 22357 PO Box 1866 Loveland, CO 80539 INSURER C : Twin CityFire Ins Co 22357 INSURER D : Lloyd's of London 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 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 LTRTYPE OF INSURANCE ADDL SUB POLICY NUMBER iMPMOLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FX� OCCUR y 34SBQIS9429 09/01/2018 09/01/2019 PREMIDAMAGETORENTED 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X JECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS-COMP/OPAGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,0I- BODILY INJURY Per person)$ X ANY AUTO 34UECJJ2777 09/01/2018 09/01/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PPe�acE dent AMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 EXCESS LIAB CLAIMS -MADE 34SBQIS9429 09/01/2018 09/01/2019 AGGREGATE $ 1,000,000 DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) N / A 34WECZG4668 09/01/2018 09/01/2019 X PER OTH- E.L. EACH ACCIDENT 500,000 $ I E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 600,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liab ANE200317118 06/21/2018 06/21/2019 Limit 1,000,000 Retention 5,000 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. CITYF-1 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 �(/�- W- V ..�J"'C (tA ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD