HomeMy WebLinkAboutHORIZON SHEET METAL INC - INSURANCE CERTIFICATE 2020-2021A`� �� CERTIFICATE OF LIABILITY ENSURANCE °°`�`MMro°"Yw'
0312512020
THIS CERTIFICATE IS IS5UED AS A MWTTER flF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C�RTIFICATE HOLDER. THIS
CERTIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX7ENb QR AL7�R 7HE COVEFiAGE AFFORDED BY THE POLICISS
BELOW. THIS CERTIFlCATE OF INSURANCE DOES NOT CQNSTITUTE A CONTRACT BETWEEH TH8 ISSUING IN5LIRER�S], AU7HORIZ�p
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE iiOLDER.
IMPpRTANT: If the certiflcate holder Is an ADDITIONAL INSiIRED, the poUcy{ies) m�st ha�e ADDITIONAL INSURED provisions or be endorsed.
If SUBRQGATION IS WAIVED, subject to the terms and conditfons of the policy, certafn policies may require an endorscment A statement on
this certiflcate dpes not canfer rlghts to the certificate holder in lieu of such endorsemenk(s}.
PRODUCER NAµE Shannon Kammerer
Fload and Peterson PHoNE ,(970) 356-0723 FAx (97p) 33D-1867
A1C No :
PO Box 578 E_MAiL__ SKammererlr�floodoeterson.com
INSURER(S) AFFORDING GOVERAGE
Greeley CO 80632 iNsuReRn: ContinentaiCasualtyCompany
IMSIIREO INSURERB: COf1t1112l11811f15Uf8pCeCOfT1P8f1y
Horizon Mechanical Solutions iNSurtert c: P�nnacol Assurance
Dba Horizon Sheet Metal, Inc INSURER D:
72B Hemlock Street INSURERE:
FOfi COiIIRS CD 8U524 INSURER F:
COVERAGES CERTIFICATE NUMBER: x4Nl2o-21 Master REVlSION NUMBER:
THIS IS TO CERiIFY THAT THE POLICIES OF INSURANCE LISTE� BELOW HAVE BEEN ISSUEO TQ THE INSURED NAMEQ ABOVE FOR THE POLICY PERI00
dVOICATEO. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONE]ITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TWIS
CERTIFICATE MAY BE ISSUEb OR MAY PERTAIIY, THE INSURANCE AFFOR�ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANQ CONDITIONS OF SUCH POLICIES. LIMITS SHOVNJ MAY HAVE BEEN REDUCE� BY PAID CLAIMS.
NSR POLICY EFF POI.ICY E%P
�7R TYPE OF INSURANGE INS� NNU POLICY NUMBFR MMlpplYYYY MMlDQlYY1fY LIMITS
x COMMERCIALG6NERALLWStLITY E4CHOCCURRENCE S
CLAIMS�MA�E � OCCUR PREMISES Eaoccarrenca S
A
GEN'LAGGREGATE LIMITAPPLlES PER�
POLICY � jE a � LOC
OTH@R
AUTOMOBILE LIABILITY
X AMYAUTO
g OWhlED SCHEDULEO
AUTOSONLY AUTOS
X HIRE� �/ NON-OWNED
AUTOSONLY /� AUTOSONLY
�
C
UMBRELLALIAB x p�GUR
EXCESS LIAB .., .,..�
Y I I 508U4630S4
04l01I2020 I 04101l2021
NAIC N
20443
35289
44190
1,000 000
sao,oao
s,000
1,000 ODO
2,000, 000
2,000,000
S
COMBINfDSINGLELJMIT s 1,OOO,D00
Ea acadenl
90P]LY INJURY (PBr penon) S
6080463068 04lOil2020 04/0112021 �p1l,YINJURY(P@r�ctideMf s
PROPERTY DAMAGE S
Per acritlent
S
6080463071
bE� i'� RETENTIpN S �
IKERS COMPENSATION
EMPLOYERS' LIABILITY Y f N
PROPRIETOR+PARTNERlEXECUTIVE � NIA
CERJMEMBER EXCLUDEO?
datory in NH)
4009379
7 0. D00, 000
16.DOD,000
s i 000 000
S 1 000 000
.. 1 000 000
�ESCRIPTION OF OPERATIDNS! LOCATIONS f VEHICLES {ACORO 701, Atltlitional liemarks Seriedule, may 6e aMeohed It more apace is requirad)
Nydro Project#: Misc- Horsetooth
HorsetoothAltemative Water Supply Design
DWRF Carbon Addition Phase I
City of FoA Gollins is included as Additional Insured as required by written contract with respecls to liabiliry arising oul ot work performed by the named
insured.
CERTkFICATE HOL�ER
Ciry of Fort Collins
700 Wood Street
FoR Collins
l
ACORD 25 (2015103�
CO 80521
0410 il2D20 I 04101I2021
�4/07/?D20 I 04107I2021 � E.L. EACHACCI�ENT
SHOULD ANY OF THE ABOVE DESCRI8E0 POLiGIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY?ROVISIQNS.
AUTHORIZED REPRESENTATIVE
�'�
� 1868-2415 ACQRd CORPOEtATION. All rights reserved.
The ACORD name and logo are ragiskered marks oiACdRD