HomeMy WebLinkAboutLiberty Mechanical - Insurance Certificate 2025oiQo"
COVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: 4773481 32 REVISION NUMBER:
118t2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I{O RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER-
this certificate does n to the certiticate holder in lieu of such endorsement(s)
L cense*: 100290819
fi?ilIlcr Huu tnternationat Midwest west
lll3"ni r.' zoz-szs-sooo [iI. ".r,zaz-sz:-goorfiffi !s5, rn*tal.r,.rau.cerliUcates@hubintemational.com
INSURER{S) AFFORDING COVERAGE
llsqEERA: The Phoenix lnsurance Company 25623
LIBEMEC.O4 rNsuRER B: Farmington Casualty Company 41483
rNsuRERc I Travelers Properly Casualty lnsuranc€ Company 36161
THIS IS TO CERTIFY THAT THE POTICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDING ANY REOUIREIVENI, TERI\TI OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE IUAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LII\4ITS SHO\N,\l MAY HAVE BEEN REDUCED BY PAID CLAII\,IS
LIMITS
X COMMERCIAL GENERAL LIAB LITY
CLA MS-MAOE occLrR
GEN L AGGREGATE L MII APPL ES PER
POL CY JECT LOC
OTHER
X
X
'1t9t2025 '119/2026 EACH OCCURRENCE s2,000,000
OAMACE TO RENTED
PREMISES lFa lrdrrenel s 300 000
MED EXP (Any one Person)s 10,000
PERSONAL&AOV NJURY s2 000,000
GEN ERAL AGGREGAT E s4 000,000
PRODI]CTS , COMP/OP AGG 54 000.000
5
AUTOMOAILE LIABILITY
X
O!!NED
AUTOSONLY
HIRED
AUIOSONLY
SCHEDULEO
AUTOS
NON,O!!NED
AUTOS ONLYXX
81GA756694A-25-26-G 119/2025 119t2026 s 1 000,000
BOOILY INJURY (Per person)5
BODILY INJURY (Pera@ldeno s
s
s
X
EXCESS fIAB
X OCCUR
CLAIMS MADE
ct )P-a766577 G2 126 1t9t2025 119t2026 EACHOCCURRENCE s 9,000 000
AC3REC'.IE s 9.000 000
DED X RETENTION $ n s
WOR(ERS COiIPENSANON
AND EMPLOYERS' LIABILITY
ANYPROPRIE'TOR/PARTNER/EXECUTIVE
OFFICERA,!EMBER EXCLUOED?
DESCR PTION OF OPE-RATIONS beld
OTH
E L EACHACC]DENT s
E L D SEASE EA EMPLOYEE s
E L OISEASE, POLICY LIMIT 5
DESCRIPIION OF OPERATIONS / LOCATIONS / VEHTCLES (ACORO r 0r, Additionar R.mrt3 Schedure, roy bo attached lf morc spaco rsrcqulrcd)
44 lndustries, lnc., Pumell Enlerprises, LLC, and Purnell Trust Dated January 202011 are addilional Named lnsureds on the policies
CERTIFICATE HOLDER CANCELLATION
SHOULO ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WtTH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
-..1ofa,v! Pl-^}aq.or+
City of Fort Collins
281 N College Ave
Fort ColIns CO 80524
O 1988-2015 ACORD CORPORATION. All rights reserved
ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endo6ed.
lf SUBROGATION lS WAIVED, subjecr to the terms and conditions of the policy, certain policies may requirc an endoGement. A statement on
Hub lnternational Midwest West
2120 Pewaukee Road, Suite 202
Waukesha \M 53188
INSUREO
Liberly Mechanical, lnc.
44 Supply, LLC
1827 Hobbs Drive
Delavan W 53115-2028
DT-CGA766544+PhX-25
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