HomeMy WebLinkAboutJOHN DUESING HVAC LLC - INSURANCE CERTIFICATE.d►coRO� CERTIFICATE OF LIABILITY INSURANCE QATE(MMIDDMlYY�
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH1S
CERTiFICQTE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX7END OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES
9ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETVYEEN FHE ISSi11NG INSURER(S�, AUTHORIZED
REPRESENTA7IVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies} must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, tertain policies may require an endorsement A statement on
this certiticate dces not con(er rights to the CertifiCate holder in lieu of such endorsement(s}.
PRO�UCER NTA T Trish Preuit
NAME.
Flood 2nd PeterSOn PHONE (g70) 506•3271 ;970;� 330-1867
A/C No M: NC No
PO 8ox 578 0o R�ESS TPreuit@F oodpeterson com
INSURER�S) AFFORDING COVERAGE NAIC !i
Greeley CO BOE32 iNsuRER A: Auto-Owners 18988
INSURED INSURER B: �'�'�efS If15Uf8f1CQ COrtlp8flY 32700
John Duesing Nvac L�c irusuReR c: Pinnacol Assurance 41190
PO Box 336881 INSURER D:
INSURER E :
Greeley CO 80633-0615 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2412953454 REVISION NUMBER:
TFfIS IS TO CERTIFY TFiAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR TiiE POLICY PERIOD
INDICATED- NOTMTHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF AMY CONTRACT OR OTFiER DOCUMENT W17H RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 7HE POIICIES DESCRIBEO HEREIN IS SUBJECT TOALL THE TERMS
EXCLUSIONS AND CONpITIONS OF SUCH POLICIES. LIMITS SNOWN MAY HAVE B�EN REDUCE6 BY PAID CLAIMS
�L� TYPE OF INSURANCE �Nr�p y,ryp PQLtCY NUMBER MM/DDIWYY MMIOOIYWY LIMITS
X COMMERCIALGENERAL IIpBILITY EACM OCCURRENCE S � OOO O00
CLAIMS-MADE � OCCUR PREMISES Eaoccunenca S 300 000
MED F�CP (Any one person) S 10,000
A 74216962 02I14/2024 02/14I2025 pER50NALbAOV NJURY S � 000000
GEN'LAGGREGATE LIMITAPPLiES PER. GENERALAGGREGATE S 2 OOO OOO
POUCY �X jEC7 ❑ LOC PRODUCTS - GOMP/OPAGG 5 2 OOO OOO
OrHER Premises�Operations s
AUTOMOBILE LIABIUTY COMSINED $INGLE LIMIT 5 1 OOO OOO
Ea accbern
X ANYAUTO BODILYINJVRY�:Perperson) S
B 05NNE0 $CHEDULED 5321699400 02114I2024 02114I2025 BODILY INJURY {Per acatlent) $
AUTQS ONLY AUTOS
HIRED fJON•OWNEO PROPERTY DAMAGE 5
AUTOS ONLY AUTOS ONLY Per araAant
Medical payments 5 5 000
UMBRELLA LIAB pCCUR EACH pCCURRENCE 5
FJCCESS LIAB CLAIMS�MADE AGGREGATE S
DED RETENTION 5 S
WDRKERS COMPENSATION X $TATUTE E�R�
AND EMPLDYERS' LIABILITY yl N 1 000 000
C ANYPROPRIETORIPARTNERlEXECUTIVE a N!A 41SZ5B4 03101l2024 03101/2025 E� �CHACCIOENT S
pFFICER/MEMBER EXCLUOED�
(Mantlatory fn NH� E l DISEP,SE - EA EMPl.OYEE S� �00 Q00
If yes, descnee unoer 1 000 000
DESCRlPTION OF OPERATIONS Oela.v E L DISEASE • POLICY L MI' S
OESCRtPT10N OF OPERATIOMS I LOCATIONS 1 VEHlCLES �ACpRD 701, Additional Remarks Scheduta, may be attached if more space is required)
Th�s certificate is issued as a matter of INFORMATION ONLY and coverages reeected are as oi the date of issuance Please nde !hal you w�l rot bc
noldied of any alterat ons of coverage unless you are speclfically listed as the Certificate Holder
CERTIFICA7E HOLDER
SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
7HE EXPIRATtON DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of FCrt Collins Building Department ACCOROANCE WITFi THE POLICY PROVISIONS.
28t N College Ave
AUTHORIZEO REPRESENTAi1VE
Fort Co1-ms CO 80524 �' L����
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