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HomeMy WebLinkAbout210476 GT ELECTRIC SOLUTIONS LLCGabriel signed State Electrical License 22�S 1M oorz� 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.cotorado.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 wvvw.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 nasbastore@nasba.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_licensing@state.co.us. Division of Professions and Ot Electrical Board GT Electric Solutions LLC Electrical Contractor EC.0100962 Number Active Credential Status Verify this credential at: Division of Professions and Electrical Board GT Electric Solutions LLC Electrical Contractor 10/01/2020 EC.0100962 10/01/2020 Issue Date Number Issue Date 09/30/2023 Active 09/30/2023 Expire Date Credential status Expire Date W. - . VeSify this credential at: dpo.colorado.gov 7560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/14/2022 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 NAME CT KATHERINE SCHOOL INSURANCE AGENCY LLC A,c"N Ext: 303-797-7268 A/C No: 303-221-1513 E-MAIL ADDRESS: kathy@schoolagency.com 6860 S YOSEMITE COURT #2000 CENTENNIAL, CO 80112 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: LIBERTY MUTUAL 24082 02/01/2023 INSURED INSURER B : INSURER C7 Gt Electric Solutions Llc 11841 JOPLIN CT INSURER D: COMMERCE CITY, CO 80022 INSURER E: $ 300,000 INSURER F: MED EXP (Any one person) $ 15,000 COVERAGES CERTIFICATE NUMBER: 00014280-264035 REVISION NUMBER: 12 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 MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY BLS57803364 02/01/2022 02/01/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEDAMAGE �( OCCUR TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L �( POLICY PELT � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ 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 LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by KLS on 06/14/2022 at 11:24AM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF WHEATRIDGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY HALL ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W 29TH AVENUE AUT ZED REPRESENTATIVE WHEAT RIDGE, CO 80033 �— KLS © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by KLS on 06/14/2022 at 11:24AM i DGRJ 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/DPD_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 nasbastore@nasba.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_licensing@state.co.us. Division of Professions and Occupations Electrical Board Gabriel Brock Thatcher Master Electrician ME.0600787 10/01/2020 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.vav Division of Professions and Electrical Board Gabriel Brock Thatcher Master Electrician ME.06a0787 10/01/2020 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.stov 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov ♦�A41 City of ' c Wheat ledge COMMUNITY DEVELOPMENT 7500 W. 29th Avenue ` Wheat Ridge, CO 80033 ' O: (303)235-2855 ' F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name), verify that I am the sole owner or partner of (company name): 6T Fl ,-6", Ivbn)15, which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire contractors/subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements, have obtained the required contractor's license from the City of Wheat Ridge an I be listed on the permit. Signature: Date: _ 6 - 1`1 — 2022