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Home My WebLink About210482 TITAN INDUSTRIES ELECTRICAL CO22 June 22 Certificate - City of Wheat Ridge_Page_1A 551 Front Street, Fairplay, CO 80440 I ® PO Box 177, Fairplay, CO 80440 I t (P) 719.836.298o (F) 719.836.1417 South Park Insurance Services, LLC Wednesday, June 22, 2022 City of Wheat Ridge Community Development 7500 W 29th Ave Denver, CO 80033 Fax: Email: Attn: RE: Certificate of Insurance Attached please find the Certificate for: Titan Industries Electrical Co LLC 8905 Ridgepoint Way Castle Pines, CO 80108 Feel free to reach out with any questions. Best Regards, FUVV rnCCa&m" Ellen McCallum, Agent/Owner South Park Insurance Services LLC CRS Insurance Brokerage Inc emcallum@crsdenver.com INSURANCE SERVICES, LLC CRS Insurance Brokerage, Inc. wxvw.insurance-southpark.com 978o S Meridian Blvd #40o, Englewood, CO 8o112 r— I �% AC"RDr CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 0612212022 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(les) 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 South Part( Insurance Services CONTACT Ellen McCallum PO Box 177 551 Front Street . IA/CNnEmil: PHONE 719-836-29$0 'AIr. N 9-836-1417 Fairplay CO'80440 IVIED EXP (Any one person) S t3XGluded E-MAIL ADDRESS: emccallum@crsdenver.com PERSONAL & ADV INJURY w 1,000,000 INSURERS AFFORLIING COVERAGE _ NAIC # INSURER A:Kiinsale Insurance Company 38920 INSURED TITAN INDUSTRIES ELECTRICAL CO LLC ___...,,,..._ INSURERS, Assurance 524210 8905 RIDGEPOINT WAY _ _�__... __ .. �_� ..... . .................... , .-._ .. CASTLE PINES CO 80108 INSURER c : ._ AUTOMOBILE LIABILITY INSURER D COMBINED SINGLE LIMIT S .(Ea accrdenn�_„ 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. ,.. TYPE OF INSURANCE.,.,µ,,..,.., .. W' .. �.... ..., ._ . .. LIMITS _.. .-....... _.... .... .... . ..LICY EFF POLICY EXP INSR ADDL SU6PO LTR POLICY NUMBER MMIDOffYYY (MM/DDIYYYY A ✓ COMMERCIAL GENERAL LABILITY {{j[ 840 D4101/2022 04(0112023 1,000,000// . EACH OCCURRENCE CLAIMS OCCUR I DAMAGE TO RENTED 1 �O,OOI} -MADE ?_PREMISES.(Eaoccurrence) $_ V Deductible $2,508 IVIED EXP (Any one person) S t3XGluded PERSONAL & ADV INJURY w 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 ✓ POLICYFD ECT LOG PRODUCTS GOPv1P OP AGGw 5 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S .(Ea accrdenn�_„ ANY AUTO BODILY INJURY (Per person) ; S OWNED SCHEDULED AUTOS ONLY AUTOS _ _... BODILY INJURY (Per accident). S HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY......... S UMBRELLA LIAB OCCUR I EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE =AGGREGATE ED RENTIONS DTE S B WORKERS COMPENSATION 03129/2022 04/0112023 PER OTI-I- STATUTE, ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOFL''PARTNERIEXECUTIVE ' OFFICEWMEtdBER A NIA. E L A .... .,,EACH ACCIDENT $1,000,000 .. "' .. . EXCLUDED? ,(Mandatory in NH) :, E L DISEASE EA EMPLOYEE $ 1,000,000 I€ yes, describe under DESCRIPTION OF OPERATIONS below �.... _ , .. I E.L. DISEASE - POLICY LIMIT ; S 10000 Fs DESCRIPTION OF OPERATIONS t LOCATIONS [VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached If more space is required) All policy terms, conditions and exclusions apply. General Aggregate applies to Each Project in the amount of $2,000,000, Total All Projects Aggregates Limit $5,000,000 Certificate Holder is Additional Insured, Primary & Noncontributory, Completed Operations with Waiver of Subrogation ii,mm I Iriii A I I: MUL;UCK t:ANt;LLLA I IUN OF WHEAT RIDGE COMMUNITY DEVELOPMENT W 29TH AVE rER. CO 80033 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 Caff&Q6— - Ellen McCallum Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss web software. www.FormsSoss.com; ? Impressive Publishina 800-208-1977 COLORADO Department of Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_dpo_licensinggstate.co.us. Division of Professions and Electrical Board Titan Industries Electrical CO Electrical Contractor EC.0102377 Number Active Credential Status Verify this credential at: Division of Professions and Electrical Board Titan Industries Electrical CO Electrical Contractor 04/05/2022 EC.0102377 04/05/2022 Issue Date Number Issue Date 09/30/2023 Active 09/30/2023 Expire Date Credential Status Expire Date ry Verify this credential at: dpo.co oLado gov _ 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov ®COLORADO Department of Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_ dpo_licensinggstate.co.us. Division of Professions and Electrical Board David Pineda Master Electrician v ME.3000950 2/23 022 Number /P IdSu Date Active. ��//�qq9/ /2023 Credential Status �'- .��- 7¢E pire Date Verify this credential at: dpo.ado.gov �1�� / Division of Professions and Electrical Board David Pineda Master Electrician ME.3000950 02/23/2022 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dio.colo .gov er �1/ Wo. / 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov