HomeMy WebLinkAboutAAA Service Plumbing Inc - Insurance Certificate ,ac RO o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
4/1/2025 1 05/01/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE
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, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies,LLC NAME:CT
444 W.47th Street,Suite 900 PHONE FAX
(AIKansas City MO 64112-1906 E-MAIL
(816)960-9000 ADDRESS:
kcasu@lockton.com INSURERS AFFORDING COVERAGE NAIC#
INSURERA: Continental Western Insurance Company 10804
INSURED AAA SERVICE PLUMBING INC. INSURER B: Pinnacol Assurance Company 41190
152284614998 WEST 6TH AVE.SUITE 800 INSURER C:
GOLDEN CO 80401
INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 20051167 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUB POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY CPA 3290009-23 04/01/202 04/0112025 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE F OCCUR DAMAMISES(EaGE occur $ 500,000
MED EXP An one person) $ 10,000
N N PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO-
JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: $
A AUTOMOBILE LIABILITY CPA 3290009-23 04/01/202 04/01/202 Ea acccldentsINGLE LIMIT $ 1,000,000
Ix
ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
OWNED SCHEDULED N N BODILY INJURY(Per accident) $ XXXXXXX
AUTOS ONLY AUTOS $ XXXXXXXHIRED X NON-OWNED PROPERTY AMAGE
AUTOS ONLY AUTOS ONLY Per accident
COMP/COLL $ 10,000
A X UMBRELLA LIAB X OCCUR CPA 3290009-23. 04/01/202 04/01/2025 EACH OCCURRENCE $ j,000,000
EXCESS LIAR CLAIMS-MADE N N AGGREGATE $ 5,000,000
DED I X I RETENTION$ $ XXXXXXX
WORKERS COMPENSATION X PER TH-
B AND EMPLOYERS'LIABILITY YIN 4229578 05/01/202 05/01/202 T T
ANY PROPRIETOR/PARTNER/EXECUTIVE NIA N E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION Of OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000.000
A EQUIPMENT COVERAGE CPA 3290009-23 141011202 04/01/202 LEASED/RENTED:$100,000
N N UNSCHEDULED:$50,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
RE: EVIDENCE OF INSURANCE.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
20051167 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
281 NORTH COLLEGE
FORT COLLINS CO 80521
1988-2015 A RD RP RATI N.All rights reserved
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