HomeMy WebLinkAbout202219 GTD ELECTRIC - COIAGaRU® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
04/15/2022
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 endorsement(s).
PRODUCER
CONTACT
NAME:
Next First Insurance Agency, Inc.
PO BOX 60787
Palo Alto, CA 94306
PHONE (855) 222-5919 FAX
A/C No Ext): A/C No):
E-MAIL support@nextinsurance.com
ADDRESS: pp
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : State National Insurance Company, Inc. 12831
INSURED
INSURER B:
gtd electric
7254 Pine Hills Way
INSURER C
INSURER D:
Littleton, CO 80125
INSURER E:
INSURER F:
DAMAGE TO RENTED 100,000.00
PREMISES Ea occurrence $
COVERAGES CERTIFICATE NUMBER: 9518185 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
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X I COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $1,000,000.00
CLAIMS -MADE OCCUR
DAMAGE TO RENTED 100,000.00
PREMISES Ea occurrence $
MED EXP (Any one person) $15,000.00
PERSONAL & ADV INJURY $1,000,000.00
A
X
NXTH3PDX2M-04-GL
03/29/2022
03/29/2023
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $2,000,000.00
X POLICY ❑ PRO JECT ❑ LOC
PRODUCTS - COMP/OP AGG $2,000,000.00
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
PER OTH-
STATUTE I ER
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑
N/A
E.L. DISEASE - EA EMPLOYEE $
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
Each Occurrence: $25,000.00
A
Contractors Errors and Omissions
X
NXTH3PDX2M-04-GL
03/29/2022
03/29/2023
Aggregate: $50,000.00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Certificate Holder is GTD Electric. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.
All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions.
CERTIFICATE HOLDER CANCELLATION
GTD Electric
K&D Development
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
2951 W 91 st PI
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Denver, CO 80260
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
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