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HomeMy WebLinkAboutLandgraf Plumbing Inc - Insurance Certificate DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE `�- 7/l2/2023 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 UUNIAUT NAME: Scott Orcull Orcutt Insurance Group,LLC A//CNN Ea, (303)233-2828 (/ve,No>: (303)233-6570 8361 Sangre de Cristo Rd. ADDRESS: certificates(//ol'ctlttg,rOlip.COn1 Suite 200 INSURER(S)AFFORDING COVERAGE NAIC a Littleton CO 80127 INSURER A: OWNERS INS CO 32700 INSURED INSURER B: AUTO OWNERS INS CO 18988 Landin it'll lumbing Inc INSURER C: PINNACOL ASSURANCE 41190 7239 Bradburn Blvd INSURER D: INSURER E: Westminster CO 80030-522' 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE DK OCCUR PREMISES(Ea occurrence) S 300.000 MED EXP(Any one person) S 10,000 A 74031249 11/01/2022 11/01/1-023 PERSONAL&ADV INJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000.000 POLICY PRO- X JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 ROTHER S AUTOMOBILE LIABILITY UUMBINEU SINGLE LIMI I S (Ea accident) 1,000,000 x ANY AUTO BODILY INJURY(Per person) S A AUTOS ONLY AUTOS OWNED SCHEDULED 5203124900 11/01/2022 11/01/2023 BODILYINJURY(Peraccident) S HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY (Per accident) S X UMBRELLA LIAB x OCCUR EACH OCCURRENCE S 5,000.000 B EXCESS LAB CLAIMS-MADE 5203124901 11/01/2022 11/01/2023 AGGREGATE S 5,000,000 DED I K I RETENTIONS 10,000 S WORKERS COMPENSATION ��// - AND EMPLOYERS'LIABILITY Y/N /� STATUTE I ER C FFICER/MEMBERPROPRIETOR/EXCLUDED XECUTIVE❑ANY N/A r n n E.L.EACH ACCIDENT S l,000A0O =12=14d�3 OS/2J/2023 061I)I/_0_4 Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1.000.000 II yes,dCScnoe under ---- -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Certificate is issued as 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 City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Community Development&Neighborhood Services AUTHORIZED REPRESENTATIVE 291 N College Ave. Fort Collins,CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD