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HomeMy WebLinkAbout5280 Plumbing Inc - Insurance Certificate 2024 5280PLU-01 JENNIFEREN CERTIFICATE OF LIABILITY INSURANCE DATE 12/26/2023Y) 12/26/2023 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 C NTeCT Jennifer Engerman NR Mountain West Insurance-Englewood PH — _ _-- -------- F�AX 3575 S Sherman Street (A/C,No E�(303)788-1685 A/c,No:(303)762-1733 Englewood,CO 80113 E-�AIL niferen mtnwst.com AR_RE . en�- -_-�--- ___.INSURER1IAFFORDINGCOVERAGE NAIC# INSURER A:Pinnacol Assurance--- 41190 INSURED INSURER B: 5280 Plumbing Inc INSURER C ____ 6301 E 71st Ave INSURER D:_________ --- Commerce City,CO 80022 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ILTIR NSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER P0�ICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrerice) $ ---- MED EXP oneperson) PERSONAL&ADV INJURY GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY E PPET FILOC PRODUCTS-COMP/OP AGG 'OTHER — ---_----- AUTOMOBILE LIABILITY COMBINED a a�BINEDtSINGLE LIMIT $ ANY AUTO BODILY INJURY(Perperson) $ OWNED SCHEDULED - --- AUTOS ONLY AUTOS BODILY INJURY Per accident $ AU�� pN oWNEp - -- - TOS ONLY AUTOS ONLY PPeOaecltlent AMAGE $ --- - �EXCELIAB LIAB HOCCUR EACH OCCURRENCE _ CLAIMS-MADEAGGREGATE__RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY 5 &TE 214622 1/1/2024 1/1/2025 E.L. ACH ACCIDENT _ $ ER ANY PROPRIETORlPACLUDEDXECUTIVE /N 1,000,000 ppFFICER/M'MAW EXCLUDED? N/A 1'000'000 (6landatory.n BE) E.L.DISEASE-EA EMPLOYEE $ If� es,descnbe under - -- - - -- -- DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 T. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Colllins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 North Mason St. ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins,CO 80524 AUTHORIZED REPRESENTATIVE -PRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD