HomeMy WebLinkAboutMR ROOTER PLUMBING OF DENVER - INSURANCE CERTIFICATEA�^� � DATE(MM/UD/YVVY)
�� CERTlFICATE 4F LIABILITY INSURANCE �,,,nQz4
TIiIS CERTIFICATE IS ISSUEQ AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLUER. THIS
CERTlFICA7E DOES NOT AFFlRMAiIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER iHE COVERAGE AFFpRDED 8Y THE POLICIES
BELOW. 7HIS CERTIFICATE OF INSURANCE DOES Nt?T CONSTITU7E A CONTRAC7 9E7WEEN THE fSSUING INSURER(S), AUTHORITED
REPRESEN7ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTAN7: If the certificate holder is an AODITIONAL iNSUR�O, the poElcy{iea) must heve AODITIONAL INSURED proviaiona or be endorsed.
If SUBROGA710N IS WAIVED, subJect to the terme and conditiona of the policy, certein policiea may require an endorsement. A atatement on
lhie certificate does not confer ri hte to the certificate holder in lieu of such endorsement e).
PRODUCER O TA T
NAME: LOfI ROS@
Arthur J. Gallagher Risk Management Services, LLC aHor�E Fnx
12750 Merit Drive Suite 1000 �ac, "Q, Ex'�; —_-- _ �^-rc, "°�
Dailas TX 75251 nooR�ess: Lori_Rose@ajg.com
_ _ __
INSURED
NBLY Co Ops CO SPV LLC
dba Mr Rooter Plumbing of Denver
3801 Godding Hollow Parkway
Frederick CO 80516
INSUREp(S� AFFORDING COVERAG
wsuRERn: Nationwide Mulual Insurance Com
NEIGLOC•01 �NSURER B: AMCO If1SUf2f1C2 COf11: 8f1�
iNsuAeR c: De o�sitors Insurance Company
iNsuAeR o: Markel American lnsurance Compa
INSURER E :
Y. — . .
191Q0
42587
28932
COVERAGES CERTIFICATE NUMBER: 749925736 REVISION NUMBER:
THIS IS TO CERTIFY ?HAT THE POLICIES OF INSURANCE LISTED BELOW FIAVE BEEN ISSUED TO THE {IJSURED NAMED ABOVE FOR THE POLiCY PERIOD
INDICATED_ NpTWITHSTANDING ANY REQUIREMENT, TERM OR CONpITIQN OF ANY COMTRACT OF OTMER DOCUMEN7 WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERiAIN, TFiE INSURAiJCE AFFORDED BY THE PpLICIES OESCRI6ED HEREIN IS SUBJECT TO Al�l. THE TERMS,
EXCLUSIONS FSND CONDITIONS OF StJCFi POL;CIES. LIMITS SHOWN MAY HAVE BEEIV REOUCED BY PAID CLAIMS.
INSR �� TVPE OF INSURANCE AD�L SUBR ^�' POUCYNUMBER '� MM+pOJYYYY MM/0DlYYYY LIMITS
LTR
A X COMMERCIALOENEFlAL LIA9ILITY Y ACP C`iL� 311034124$ 411/2023 � 41112024 �qCH OCCURFENCE $ 1,000,000
, ClAIMS•MAOE X OCCUR �b����T��ArEa�"�
PAEMISE1Ea occurrenceJ_ S 1.Q00,000
_— — _—.___..
MED EXP {An one person S 10,000
PERSONAL & ADV INJURY S 1.000,000
GEN'L AGGREGATE LIMI7 APPLIES PE(i' GEMERAL AGGREGATE $ 2,000,000
POLICY �_X , JEC�T �! , I LOC Pq06UCTS • COMPlOA AGG 5 2,000,000
OTNER: 5
G AUTOMOBILE LIAeILITY ACP BAPD 3116341248 41112023 4I112024 MBIN£D IN LE LIMI g �,000,000
Ee accidant �
X ANV AUTO 6001LY INJURY fPer person) $
OWNED SCHEDULEO BOOILY IN3URY (Per aaldenl) $
AUTOS ONLY AUTOS _
x AUTOS ONLY X AUQTOS �NE�Y Pe�Bcdd n1) AMAGE g
$
� X UMBRELLALIAB X pCCUR ACP CAA 31103A1248 q1112023 4/112024 EACH OCCURRENCE 55,000,000
EXCESS LIAB CLqIMS-MADE AGGREGATE S 5,000,000
DED FE7ENTION $ 4
g WORKERSCOMPENSAFIpN ACP WCA �110347248 411/2023 4l112024 x
ANO EMPIOYERS' LIABILIiY Y � N S7ATUTE E H
ANYPROPRIETOPoPARSNERlEXECUTiVE E.L EACH ACC1pEN7 S 1.0OO,ODO
OFFIGEWMEM66RFXCLU08D? � NJA
(Msndetory fn NH) E.L. DISEASE - EA EMPLOYEE S 1,000,000
II yas, descnbe under
OESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 1,000,000
A mland Manne ACP CIM 3110341248 4/V2023 411/2024 LeasedlRented Eqoip $100,000
� MKLM4EUE101141 4I112Q23 411l2024 Inslalla6on Fbater $100,OOQ
Excess Liebtliry (SMzSM) L�m�11Ea OaJAGG) $5,000 000
DESCRIPTION OF OPERATIONS! LOCATtONS/ VEHICLES (ACORD 701, Additional Remarks Schedule, mAy hB ptteChOd if mOrB bpPC! 16 flqUlfed�
City of Ft. Collins is an Additional Insured as respeCts General Liability polity, pursuant to and subjecl to the policy's terms, deflnitions. Conditions and
exclusions.
R
SHOULD ANY OF THE ABOVE DESCRIBED POLICiES 8E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ft. ColEins
281 North College Avenue,
Ft. Collins CO 80524
ACORD 25 (20t6/03)
AUTHORIZEO REPRESENTATiVE
W!�- i/ �, Y�
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