HomeMy WebLinkAboutHORIZON SHEET METAL INC - INSURANCE CERTIFICATE 2020-2021A`� o� CERTIFICATE �F LIABILITY INSURANCE °A�`M""°°"""",
03I2512020
THIS CERTIFICArE IS ISSUEU AS A MATTER OF INFORMATIBN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE F{OLD�R. THIS �
CERTIFICATE DOES HOT AFFIRMA7IVELY OR N�GATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFQRDED BY THE POl.ICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NQT CONSTITUTE A CONTRACT BETYYEEN THE ISSiJING INSURER{Sj, AUTHORIZED
REPRESENTATIVE OR PRO�UCER, AND THE CERTIFICATE F{OLDER.
IMPORTANT: If tha certiticate holdar is an ADDITIONAL INSURED, the policy(iesj must have ADpITIONAL INSl1RED provislons or 6e endorsed.
If 5UBROGATION IS WAIVED, subject to the terms and conditions of the palicy, certain policles may require an endorsement A skatement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s�.
PROOUCER NAME: Shdflf1011 K811'111'IBf2f
Flood and Peterson A�rc�N o x� (47Q} 356-0123 A� Mo: (97D] 330-1867
PO Box 578 �-M^�� SKammerer flood eterson.com
aonRess� � P
Greeley
INSUREO
CO SC632 iNsuReRa: Continental Casualy Company
iNsuReR B: Cantinental Insurance Company
Horizon Mechanical Solu�ions iNSuaeR c: P�nnacol Assurance
Dba Horizon Sheet Metal. Inc INSURER D:
126 Hemlock Slreet tNSURER fl:
20443
35289
41190
FOrt C01lInS CO 80524 INSURER F:
�VERAGES CERTIFlCATE NUIIrtBER: x41v2o-21 Master REVISIdN NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEp BELOW HAVE BEEN ISSUED TO THE INSURfD NAME� ABdVE FOR THE POLICY PERIOD
INQICATED. NOTWITHSTANDiNG ANY REQUIREMENT, TERM OR COiVDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICAT� MAY BE I5SUED OR MAY PERTAIN, THE INSURANCE AFFOROED 6Y THE POUCIES DESCR 8ED }iEREIN iS SUBJECT TO ALL THE TERMS.
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMtTS SHOWN MAY HAVE BEEN REDUGEd BY PAIp CLAIMS
R POLICYEFF POLICYEXP
q 7YPEOFINSURANCE IN p yyyp POLICYNUMBER MMl00lYYri INMl00lYYYY LIMITS
X COMMERCIALGENERALLW91LItY EACHOCCL'RRENCE S �,DOD,000
CLAIMS-MA�E � C�[:UR PREMISE5 Eaoccurtence S�Oa,aOO
A
GEN'LAGGREGATE LIMITAPPLIES PER
POIJCY ❑X �R� � LOC
dECT
OTHHR
AUTOMOBILE LIABIUTY
x ANY At}70
$ 65NNED B SCHEOULEb
AUTOS ONLY AUTOS
X HIREO x NON-OVNJ@0
AUTOS ONLY AUTOS ONLY
B
C
UMBRELLA LIAB p�CUR
EXCESS LIAB ,.. .,..�
ME�EXP{An ane eraan S 5,000
6080463054 D4101?2020 aaro��zorti pERS6NALSAOVlNJURY S ��Q00,00�
GEN@RALAGGREGATE S z�000,000
PROOUCfS-COMPAOPAGG S z,D06,000
S
COMBINEDSINGLELIMIT s i,000,avo
Ea accideM
BOOILY INJUIiY (Per p9rson) S
fi0804fi306$ D4I01l2020 04I01l2021 BOOILY IMJURY (Per �cident� s
PROPERTY DAMAGE S
Per ec�tlenl
S
BD804B3071
encH occuF
D4I0112020 0410112021 AGGREGaTE
DED X RETENTION 5 �
IHERS COMPEMSATION
EMPLOYERS' UABILITY Y 7 N
PROPRIETORlPARTMERIEXECUTIVE � Nlp
CERlMEMBER EJ(CLL1DE07
datory in NH)
4009379
R4I01l202D I 04l01/2021
E,L pISEASE - EA EMPLOYEI
E.L. OISEASE- POLICY LIMIT
OESCRIP710N OF OPERATIONS! LOCATIONS I YEHICLES �ACORO i0i, Addltlonal RemarNs Scheduk, may ha atlachad if more apace ia requfradj
Cerlificate holder is included as Additional Insured as requ red by written coniract with respects to liabd�ry arising out of work pertormed hy the named
insured
10,000,000
10,000,000
1,000,000
1,000,000
1,000,000
City of Fort Collins
P O. BOX 580
SHOUL� ANY OF THE ABOUE dESCRIBEp POLIGIES 8E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERE� IN
ACCOR�ANCE WITH THH POLICY PROVISIONS.
AUTHORIZED REPRESENTA7IVE
ACORD 25 (2016f03}
Fort Collins
CO 80522
�
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