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HomeMy WebLinkAboutAnytime Mechanical, LLC - Insurance Certificate 2023 ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/20/2023 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 CONTACT Moody Insurance Agency,Inc NAME: Moody Insurance Agency,Inc. PHONE (303)824-6600 FAX (303)370-0118 A/C No Ext: A/C,No): 8055 East Tufts Avenue E-MAIL certrequest@moodyins.com ADDRESS: Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC# Denver CO 80237 INSURERA: American Select Insurance Co 19992 INSURED INSURER B: Pinnacol Assurance 41190 Anytime Mechanical,LLC INSURER C: 9088 Marshall Ct INSURER D: INSURER E Westminster CO 80031 INSURER F: COVERAGES CERTIFICATE NUMBER: 23-24 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL5UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE RENTED 500,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A CWP7844631 10/01/2023 10/01/2024 PERSONAL 8ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 M POLICY ❑ PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED CWP7844631 10/01/2023 10/01/2024 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Underinsured motorist $ Included " 5,000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ A EXCESS LIAB CLAIMS-MADE CWP7844631 10/01/2023 10/01/2024 AGGREGATE $ 5,000,000 DED I X1 RETENTION$ 0 $ WORKERS COMPENSATION PER EOTH- R AND EMPLOYERS'LIABILITY YIN X STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 4196007 10/01/2023 10/01/2024 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Leased/Rented Equipment A CWP7844631 10/01/2023 10/01/2024 Limit 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave. AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 mpQY>1q 1KAAVOW_0 Ptp ,n @ 1988988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00019421 LOC#: ACORO® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Moody Insurance Agency,Inc. Anytime Mechanical,LLC POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS&CONDITIONS General Liability To the Extent Provided in Form CG 2010(04/13): Blanket Additional Insured Status for Ongoing Operations applies when requried by written contract. To the Extent Provided in Form CG 2037(04/13): Blanket Additional Insured Status for Completed Operations applies when required by written contract. To the Extent Provided in Form CG 7137(11/12): Blanket Additional Insured Status(Various)applies when required by written contract. Coverage applies as Primary and Non-contributory when required by written contract. Blanket Waiver of Subrogation applies when required by written contract. Automobile Liability To the Extent Provided in Form CA 7077(10/13): Blanket Additional Insured Status applies when required by written contract. To the Extent Provided in Form CA 0444(10/13): Blanket Waiver of Subrogation applies when required by written contract. Workers Compensation To the Extent Provided in Form 359-B: Blanket Waiver of Subrogation applies when required by written contract. ***IMPORTANT*** Please note that copies of policy forms will not be sent out by mail.If you require copies of policy forms/endorsements,please submit your request to CertRequest@moodyins.com and reference the insured's name. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD