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Home My WebLink AboutMECHANICAL SOLUTIONS INC - INSURANCE CERTIFICATE 2023-2024,�►CO � CERTIFICATE OF LIABILITY INSURANCE OATE�MNWDlYYYY� 05I16I2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON ZHE CERTIFICATE HOL�ER. THIS CER7IFICA7E DOES NOT AFFIRMATIVEtY OR NEGATIVELY AM�ND, EXTENld OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONiRACi BE7W�EN THE ISSUING INSiIRER(S), AUTHQRiZED REPRESENTATIVE OR PRODUCER, AND THE CERT4FICATE HOLDER. 1MPORTANT If the cerlificate holder is an ADDITIONAL IIVSURED, the pokicy{iesj must have ADDITIONAL INSIIRED prpvisions ar be endorsed. lf 5l1BROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statemenk on this certificate does not confer rights to She certificate hoider in �feu of such endorsement{sj. PRODUCER CONTA T Moody Insurance Agency, Inc. NAME: Moody InsuranceAgency, !nc ?��N� x: (303j 824-6fi00 C No: (303) 370-0118 8055 �ast TuftsAvenue ��A�� certrequest(c�maodyins.com aooRess: SUliB 1 UOO INSURER(Sj AFFORD[NG GOYERAGE NAIC M Denver CO 80237 iNsueErtn- p�oenixlnsuranceCompany 25523 INSURED iwsurtEk e: Trave ers Property Casualty Co o(America 25674 Mechanical Solutions Construction, Inc iNsurtert c: Pinnacoi Assurance 41990 DBA Mechanical Solutions Inc INSURER D: 1820 W Evans Ave INSURER E: Efl(jI6WOOd CO 8011 O INSURER F: COVERAGES CERTiFICA7E NUMBER: 23-24 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEp R$OVE FQR THE PO�IGY PERIOD INDICATHD. NOilMTHSTAND{NGANY REQViREMEMT. TERM OR CONb1710N QF ANY CONTRACT OR OTH�R DOCUMENT WITH RESPSCTTO VNiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUB.}ECT TOAIL THE TERMS, EXCLUSIONS AND CONDITIOiVS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 9Y PAIp CIA� M5. iNSR POLICY EFF POLICY F�(P LIMITS LTR TYPE OF INSURANCE IN D WVD POLICY NUiHBER MMIDUlYYYY MMI�DlYYYY X COMMERCIALGENERALLIABILITY EACHOCCURRENCE S �.000,000 CLAIMS-MADE � OCCUR PREMISES Ea accurrence S 300,000 A B B C LAGGREGATE LIMITRPPLEES PER POLICY a PRO• ❑ `� JECT AUTOMOBILE LlABILITY X ANYALITO ONMEO SCHEOULED A11T05 ONI,Y AUTOS X HIRE� X NOiVAWIVED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB x p�CUR EXCESS LIAB CLqIAAS-MADE DED X RETENfION S �0,000 NORKERS CQMAENSAT[OiV 4ND EMPI.OYERS' LIABILITY Y/ N 4NYPROARIETOFtlPARTNERIE%ECUTIVE ❑ N!A ]FFICERANEMBER EXCLUOEO? ;Mandatory In NHj � Y�� dBSCflbB tlRdBf IESCRIPTION OF OPERATIONS below 4TC06W752286PHX23 8106W751671232SG CUP6W75262A232S 4237155 0517 712023 I 06l0 7I2024 MED EXP fAnv ane GENERAIAGGREGATE S 10,000 5 1,OOO,U00 S 2,000,000 :r t 2,Ofl0,000 5 COMBINE�SINGLELIMlT 5 1,000,000 Ea accidenl B061LY INJURY (Per person) 3 OSI17I2023 06l0712024 BODILY INJURY (Per acdtlenl) S PROPERTY 6AMAGE S Per accident 5 EACH OCCURRENCE S 5,000,000 fl5l1712023 06/01/2024 er.r.aFr.nrc � 5,000,000 06/01/2022 06l0112023 E,L.EACHACCIDEMT S ��OOO,OOO E-LDISEASE-EAEMPLOYEE 5 ��OOD000 E.L. DISEASE - POLICY LIMIT S 1,000 000 �E8CRIPTION OF OPERATIONS! LOCATIONS 7 VEHICLES [ACOR� 101, AddlNonal Remarks 8chedule, may be attached if more space is requlred) Ciry o{ Ft. Callins 281 N College Ave Forl Collins co sos2a SHOU1.0 ANY QF THE ABOVE DE5CRIBED POLICIES BE CANCELLE4 BEFORE THE F�CPIRATION DATE THEREOF, NOTICE W1LL BE DELIVERH� IM ACCORDANCE WITH THE POLICY PROV1510N5. AUTHORIZED REPRESEHTATiVE ��I�.UGt,V1l�- O 1988-2015 ACQRd CQRPORATION. A11 rights reserve ACORD 25 (2016I03j The ACORD name and logo are registered marks af ACORD . �� ACOR�� . AGENCY CUSTOA�IER ID: LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY Moody tnsurance Agency, Inc. pOLICY NUMBER CARRIER NAIC COUE ADDIiIONAL REMARKS Page of NAMED In�SURED Mechanical Solulions Construttion, Inc. DBA Mechanicaf Solulions Inc EFiECTIVE �ATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FOiZnfl NUMBER: 25 FORM TITLE: Certi£cate of Liabi�ity Insurance: Nales COIVTRACTUALlIABILITYAPPLIES PER POLICY TEFtMSAN� CONDITIOiVS Coverage: 5tored Materials Insurer: Phoenix Insurance Company, Specisl Form Coverage: LeasedlRenled Equipment Insurer: Phoenix Insurance Company, Special Form NAIC Code: 25623, Policy Number: 4TC06W752286PHX23; Ef(ective Date: 511 il2023 - 6I112023; Limil: $750,000, NAIC Code: 25623, Policy Number: ATCO6W752286PHX23; ENective Date: 5I17I2023 - 6I112023; limit: $100,OOU, Coverage: Professional Liabiliry Insurer. Certain Underwrilers at Llayd's; Policy Nurnber: ANE485064622; Effective Date: 06l01l2022 - �6l01l2023. Limit: $1,OOD,0001Deductible: $2,50D; Relroaclive Date: 07l1912019 Coverege: Pollution Liability Insurer: Certain Underwrilers at Lloyd's; Policy IVumber: ANE485064622; Etfeclive Date: tl6l01I2022 - 06107l2023; Limil: $1,D00,000laeductible: $2,500; Relroactive Date: 0711912D19 Coverage: Crime Insurer: Travelers Casualty and Surety Company o(America, NAIC Code: 31194; Policy Number: 107202438; Ef(ective Date: 01l08I2023 - Oil0812024; Limit: $100,000lDeductible: $1,04Q General Liability: CG �2 46 U4 19 Form Attached Includes: Blanket Additional I�sured status applies only to Ihe exient provided in form CG D2 46 04 19 when required by written contract. Primary and Non-Contributory status only to the extent provided in (orm CG D2 46 04 19 when required by written contract. CG D3 16 02 19 Fprm Attached Includes: Blanket Waiver ot 5ubrogation applies only to the extent provi�ed in form CG D3 16 a2 19 when required by wrilten contracl. CG b2 11 01 04 Form Attached Includes: Designated Project General Aggregate applies only to the sxlenl provided in form CG D2 11 01 04 when required by wririen contract. Auto Liability: CA T4 99 02 16 Form Attached Inc udes: Bfanket Additional Insured status epplies only to Ihe extent provided in form CA T4 99 02 16 when required by written contract. Primary and Non-Contribulory status only to the exlent provided in form CA T4 99 02 16 when required by written conkracl. CA T3 53 02 15 Form Attached (ncludes: Blanket Waiver a( Subrogation apphes only to the exlenl provided in form GA T3 53 D2 i S when reyuired by written contracl. >ional Liability and Pol ution Liabdity. CW (05120) Altached Inc udes: �al Insured slalus applies only to the extant prov ded in torm PQ004 CW {05120) when required by written contract. ; Waiver of Subragation applies only to the extent provided in form P0004 CW (05120) when required by wriften conlract. Liability: Liability pplicy is on a follow (orm basis for lhe (ollowing underlying insurance coverages: General Liability, Automobile Liability, and Employers' Additional insured status will (ollow when required by wrilten conlract including Primary and Non-Conlributory status when required by written rs Compensation: FormAtlached Includes: �t Waiver of Subrogation applies only to the extent provided in form WC 00 03 73 when required by written contract. policy forms referenced will be sent via email only. To obtain copies, please send your request wilh the ema�i address to certrequesl@moodyins com ACOR� 101 (2008101) O 2008 ACORD CORPORATION. All rights reserve 7he ACORD name and logo are registered marks of ACORD