HomeMy WebLinkAbout210496 POWERCORE ELECTRIC, LLCGeneral Liability--, N CERTIFICATE OF LIABILITY INSURANCE
ACORO
DA14 (M M/DD/YYY1')
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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 CONSTITUE 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 an endorsement(s).
PRODUCER
CONTACT
NAME:
GIA RISK MANAGEMENT LLC
PHONE
FAX
PO BOX 1246
INC. No. Ext.): (303) 423-0162
(AIC. No. Ext.): (303) 424-1276
ARVADA, CO 80001-1246
E-MAIL
UMTS
ADDRESS:
INSURED
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: THE TRAVELERS INDEMNITY COMPANY
POWERCORE ELECTRIC, LLC
INSURERS:
4935 E ASHTON AVE
CASTLE ROCK, CO 80104
INSURERC:
68G-OP790027-21-42
INSURERD:
09/162022
EACH OCCURRENCE
NSURERE:
CLAIMS MADE OCCUR
INSURERF:
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 CONTRACTOR 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.
INBR
ACCORDANCE WITH THE POLICY PROVISIONS
ADDL
BUBB
POLICY EFF
POLICY EXP
LTR
TTP E OF INSURANCE
INBD
MD
POLICY NUMBER
MMDDNYYY
MVYDD/YTTT
UMTS
X COMMERCIAL GENERAL LIABILITY
68G-OP790027-21-42
09/162021
09/162022
EACH OCCURRENCE
$1,000,000
CLAIMS MADE OCCUR
DAMAGE TO RENTED
PREMISES Ea Occurrence
$300,000
HER EACH AnV oneperson)
$5,000
A
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2 000 000
GEN 'L AGGREGATE LIMIT APPLIES PER
X POLICY El PROJECT ElLOGPRODUCTS—COMP/OP
AGG
$2,000,000
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
Edacc, end)
$
BODILY INJURY Perperson)
$
OWNED F7 SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NONOWNED
PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY
(Per accident)
$
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMSMADE
AGGREGATE
$
DED ❑RETENTION
$
WORKERS COMPENSATION
PER
OTH
AND EMPLOYERS' LIABILITY T/N
N/A
STATUTE
-ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED'
E
(Mandatory in NH)
E L EACH ACCIDENT
$
ELDISEASE— EAEMPLOYEE
$
If yes, descnbe under
DESCRIPTION OF OPERATIONS BELOW
ELDISEASE —POLICY LIMIT
$
$
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
CITY OF WHEAT RIDGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
7500 W 29TH AVE
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
WHEAT RIDGE, CO 80033
ACCORDANCE WITH THE POLICY PROVISIONS
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/3)
O 1993-2015 ACORD CORPORATION. All rights reserved.
The Acord name and logo are registered marks of ACORD
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