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HomeMy WebLinkAboutCOI - Creek Electric, Inc. - Expires 2025-01-01CORE" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/18/2023 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 Holmes Murphy & Associates NAME; Alex Harper $Intih PHONE 2727 Grand Prairie Parkway G t. ExI; 816,85'1-7808 Waukee IA 50263 ADDRE5,S: aharpersmithpholrnesmurphy:oom INSURED Creek Electric Inc 2811 W Pawnee St Wichita KS 67213-1819 ELEP INSURER'S) AFFORDING COVERAGE INSURER A: Midwest Builders Casualty Mutual Co INSURERS : Cincinnati Insurance Company INSURER C INSURERD : INSURER S' URER:F FAX (A/C, No): NAICI 10677 COVERAI CERTIFICATE NUM ER:20530467 REVISION NU ER: THIS INDICATED. CERTIFICATE EXCLUSIONS INS LTR IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY _ ...._ , AND CONDITIONS OF SUCH TYPE OP INSURANCE OF INSURANCE PERTAIN, POLICIES. ICfllS1 lost)wyo t LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED _...____ _.. POLICY NUMBER ISSUED TO CONTRACT THE POLICIES 13Y POIIJ,OryyE'"FF MUD IYYYYJ THE INSURED OR OTHER DESCRIBED PAID CLAIMS. POL1GyEXr NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS 13 X -- COMMERCIAL GENERAL LIABILITY ENP0702521 1/1/2024 -(MM/DDIYYYYL_ 1/1/2025 EACH OCCURRENCE $ 1,000,000 w.._.__,� CLAfMt3"MADE I.J OCCUR 1,000 DAfiT'O RENTE0 REM PREMISES I -a, c i r©nc 1 4_4C� 1�).._.. MEDEXP_ ny-onoperson) $1 00 0,000 _._ $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 C�EN'L AGGREGATE LIMIT" APPLIES PER: POLICY [—X- i j pr I.._^ j LOC GENERAL AGGREGATE PRODUCTS - COMP/OP AGO $2 000,000 $ 2,000,000 man: $ E3 AUTOMOUILELIABIUTY X ANY AUTO EBA0702521 1/1/2024 1/1/2025 COmai GB' INGLE LIMIT mW BODILY INJURY (Per person) 1000 000 $ OWNED HIRED ONLY SCHEDULED AUTOS BODILY INJURY (Por accident) $ x HIRED v N-O NON -OWNED AUTOS ONLY PROPERTY DAMAGE £Pc r aroltiBO „_ $ __._. _�w s X UMBRELLALIAB X OCCUR ENP0702521 1/1/2024 1/1/2025 EACH OCCURRENCE $'0,000,000 EXCESS LIAt1 DEED 1 ETENT ON $ CLAIMS -MADE AGGREGATE $ rJ A00 000 $ A woaKEI1S COMPENSATION AND EMPLOYERS' LIABILITY WCI00000419912024A 1/1/2024 1/1/2025 X STATUTE ERT Y / N ANYPIROPFUETOR/PARTNER/EXECUTIV OF(Mandatory NH) EXCLUDED? N (Mandalory �n NH) N 1 A E.L. EACH ACCIDENT N'T EL, DISEASE - EA EMPLOYEE $1 000 000 $1 000,000 If yas, Merle° ruder DESCRIPTION OE- OPERATIONS Below EL, DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)) CERTIFICATE HOLDER �. City of Gilroy, California 7351 Rosanna St Gilroy CA 95020-6141 USA CANCELLATION. 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 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 5075: 2 " of 3. AC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/CD/YYYY) ".. 12/18/2023 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 Ileu of such endorsement(s). PRODUCER Holmes Murphy & Associates 2727 Grand Prairie Parkway Waukee IA 50263 INSURED Creek Electric Inc 2811 UV Pawnee St Wichita KS 67213-1819 COVE AG CERTIFICATE NUM ER; 252 CREELEPC 4600 NAMVCT Alex Harper-Smtih Imous (A/C No, Ext); $'I G-857-7808 ADO�R3ss; aharpersmithpholmesmurphy,coln INSURERIS) AFFORDING COVERAGE INSURER A : Cincinnati Insurance Company INsunen B Midwest Builders' Casualty Mutual Co INSURER FAX (N04 ); NAIC # 10677 13126 INSURER D INSURER E INSURER VI Ntll RFR THIS INDICATED. CERTIFICATE EXCLUSIONS INSe LTR IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED O3 MAY AND CONDITIONS OF SUCH TYPE OFWSURANCE OF INSURANCE PERTAIN, POLICIES. AMUWSW ,NEn WV D LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER ISSUED TO CONTRACT THE POLICIES BY POLIOBFO (MM/DD/YYYT) THE INSURED OR OTHER DESCRIBED PAID CLAIMS. POLICY x_p L(, ��X_.. (MM/IUD/YYsty) NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN 1S SUBJECT TO ALL THE TERMS, _... _ .__.._ LIMITS A X COMMERCIAL GENERAL LIABILITY ENP07025211 1/1/2024 1/1/2026 EACH OCCURRENCE $1,000,000 X 1,000 CLAIMS.MADE I x_1 OCCUR DAMAGE TO RENTED EI3EMISES;(EauCOu�rcnpe).. _.. MFD EXP (Any ono person) $ _1q00000_ $5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE IPOLICY LIMIT APPLIES PER: 1 X" El: r J Lac GENERALA_GGRIIOATE PI IODUCTS COMP/Op AGO $2 000,00D_ $ 2,000 000 ,__.._ OTHER: $ A AUTOMOBILE m X.. LIABILITY ANY AUTO " EBA0702521 1/1/2024 1/1/2025 OOMBINE7 SINGLE LIMIT BODILY INJURY (Per person) $1,000,00 0 _.._,._... OWNED AUTOS ONLY SCHEDULED AUTOS DIY INJURY (Per accident) $ x HIR AUTOS ONLY x AO OS ONLDD PROPERTY DAMAGE ,,(poi eSel. 111). __—_ __u_ __..______._. __.___ A X UMBRELLALIAB X OCCUR ENP0702521 1/1/2024 1/1/2026 EACH OCCURRENCE $9,000,000 EXCESS DUD LIAR RETENT ON $ CLAIMS•MA0E AGGREGATE $9000000 $ WORKERS M COMPENSATION LIABILITY VC10000041912024A 1/1/2024 1/112023 X SgTUTE E"'RD ANYPIiOf'RIETC7R/PARTNERIEXEGUiIVG OPF CER/MEMEEREXCLUDEO7 (Mandatory In NH) Y/N N / A E.L, EACH ACCIDENT _ C.L. DISEASE- EA EMPLOYEE $1,000,000 $1,000J000 If yes, (Werbe under DEscrti 'rION OI- OPEfIATIONS below E,L. DISEASE. POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remerke Sehedute, maybe attached If more space to required) CERTIFICATE HQ D'. City of Gilroy, California 7351 Rosanna St GSAy CA 95020-6141 CANCELLATION 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 . Cook. C� 1988-2015 ACORD CORPORATION. All rights reserve ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 5075: 3 of 3 I'