HomeMy WebLinkAboutAMERICAN SPRINKLER, INC. - INSURANCE CERTIFICATEA`� �� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYYY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOtDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON7RACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the ceNificate holder is an ADDITIOfJAL INSURED, the policy(ies} must ha�e ADDIFIONAL INSURED provisians or be ertdorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policfes may require an endorsement. A statement on
this certiflcate doas not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER cowracT �ennifer W�nler, CISR
NAME:
Flood and Peterson PHONE {970) 506-3206 F� (970) 506-6846
NC No Eat : NC No :
PO Box 578 E-M � JWinter llood eterson.com
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INSURER(S) AFFOROING COYERAGE HAIC M
Greeley CO 60632 iNsuaeRa: Everest Indemniry Insurance Co. 10851
INSUREp INSURER B; SEIeCtIVB 171511f0f1CB COfllpBfly OF AfllEfiCB 12572
Amencan Sprinkler, Inc. �HsuRett c: Pinnacol Assurance 41190
5151 8annock Street INSURER D:
INSURER E :
Denver CO 80216 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2412653428 REVISION NUMBER:
THIS IS TO CERTIFY THAT TH� POLICIES OF lNSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PER10D
INDICATED. NOTWITHSTAfV01NG ANY REDUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIThI RESPECT TQ WHICH TH1S
CERTIFICATE MAY BE ISSUED OR MAY PERTAkN, THE iNSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHQWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFF POLICY EXP
�TR TYPE OF INSURANCE IMSD NND POLICY NUMBER MMIODlVYYY MMJDOJYYYV LIMITS
x COMMERCIAL GENERAL UABILRY £nCH OCCURREkCE S ��000,000
CLAIMSMADE � OCCVR PREMISES Eaoccurcence S ��•000
X BIfPD Ded2,500 MEO ExP (Any one person) S 5,000
A 51GL016106-241 02101I2Q24 021011202$ pERSONAL BADV INJURY S�'���,a��
GEN'LAGGRF.GATEUMITAPPIIESPER� GENERALAGGREGATE $ z•OOO,O�
POLICV �X jE a � LOC PRODUCTS • COMPIOPAGG 5 z.00O,ODO
OTHER: S
AUTOMOBIiE LIABILITY COAABINED SINGLE LIMIT 5 �,QOO,OOQ
Ea acc�UeM
X ANYAUTO BODILY INJVRY �Per Oerson) 5
B OWNED SCHEDULED S 2501549 OZ/�i12024 fl2(0112�2$ BODILY INJURY (Per aaideni) S
AVTOSONLY AUTOS
X HIRED � IJONAWNED PROPERN DAMrtGE S
AVTOS ONLY AUTOS ONLY Par accWenl
5
UMBRELLA LIAB OCCUR EACH OGCURRENGE 5 S,OOO,UOO
A X El(CESSLIAB CLAIMS-MADE SIEOOO4SS{-241 OZ/OIIZOZ4 OZIOIIZOZS AGGFtEGATE 5 S,OOO,�OO
DED X RETENTION S� 5
WORKERS COMPENSATIQN PER OTH•
AND EMPLOYERS' UABIUTY STASUTE ER
�! N 1, 000, 000
C ANYPROPRIETOR/PARTNERIE;ECUTIVE � N!A 4198597 OZIOIlZOZ4 OZIO'1/ZO25 E.L.EACHACCIDENT S
OFFICEwMEM6ER [xClUOEO. 1,000,000
(Mandatory In NH) E.L. DISEASE • EA EMALOYEE S
II yes, desu,be und er 1,000, 00 D
DESCRIPTIOM OF OPERATIONS �elow E.L. OISEASE - POLICY LIMIT 5
Professional Liability Professional Liability S2M I$1M
A Pollulion �iability 51GL016106-241 0210112024 02101/2025
Pollu6on LiabiGty $1M I $1M
DESCRIPlION OF OPERAT10N51 LOCATIONS f VEHICLES tACORD 7Q1, Addl�ional Remarks Scheduls, may De aftached if mor� spac� is requirad)
RE: Conlractors License
This certificate is issued as a matter of INFORMATiON ONLY and Coverages reflected are as o( the date of issuance. This certificate dces not alter ihe
insurance coverage attorded by ihe policies described herein.
CERTIFICATE HOLDER
Cily of Fort Collins
281 N. College Avenue
Fort Collins
I
ACORD 25 (2016/03)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
7HE EXPIRATION DAT� THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROYISIONS.
AUTHORIZED REPRESEHTATIYE
CO 80524 � �
O 1988-2U15 ACORD CORPORATION. All rights resened.
The ACORD name and logo are registered marks of ACORD