Loading...
HomeMy WebLinkAboutProbst Electric Inc/"e,IC 1of1 0o, * 2610 ACO CERTIFICATE OF LIABILITY INSURANCE (� DATE(MWDDNYYY) `66� 5111202504/23/2024 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 pollcy(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 LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 866-260-3538 INSURER A: Old Republic Insurance Company 124147 INSURED PROBST ELECTRIC, INC. 1365788A QUANTA SERVICES COMPANY 441 W POWERLINE RD HEBER CITY UT 84032 COVERAGES CERTIFICATE NUMBER: 2nfIR nio R1=WS!ON NI IRARGR• YYYYYYY 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 REOUIREMENT, 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 POLICIES.ACLAIMS, INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MWDDNYYYI LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N MWZY 313093 24 05/01/202 05/01/202E EACH OCCURRENCE $ 1 000 000 S 1 000 000 MED EXP An Ram on) aon $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JE � LOC OTHER GENERAL AGGREGATE $ 1.000.000 PRODUCTS - COMPIOP AGG $ 1,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED X AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Y N MWTB 313092 24. 05/01/202 05/01/202 (CEO,aocl d.n j.,NED LIMIT $ 11000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident)$XXXXXXX PROPERTY AMAGE Per accident $ XXXXXXX $XXXXXXX UMBRELLA L1AB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DIED i I RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIET OFFICERIMEMSEWPARTNERFEXR EXCLUDED? ECUTIVE Mandatory In NH) FRI If yes, describe under uM DESCRtPTION OF OPERATIONS Wow N J A N MWC 313094 24 05/01/202 05/01/202 X - E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - E4 EMPLOYEE $ 1,000,000 E.L- DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Hayes Water Distribution Job Number 31001300500 Additional Insured in favor of City of Caldwell on the General Liability and Auto Liability whore and to Ire extent required by written contract. a.�n r rrwn r � nvw�n l,AryI,,CLLR I IVry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20068010 T12P1 AUTHORIZED REPRESENTATIVE City of Caldwell PO Box 1179 Caldwell ID 83605 rights reserve AUUKU Lb (ZUTbIUJ) I ne AUURD name and logo are registered marks of ACORD