HomeMy WebLinkAboutAll American Backflow - Insurance Certificate 2025 00/10/Z5 15:09:36 1-055-093-4357 Fax SEruEr The Hartford Pd9E 004
DATE(MMIDOIYYYY)
CERTIFICATE OF LIABILITY INSURANCE C.— � 08/10/2025
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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED.
subject to the terms and conditions of the policy, certain policies may require
re an endorsement.A statement on this certificate does
not confer rights to the certificate holder In lieu of such endorsement�9,
PRODUCER CONTACT NAME:
EVFRTRE,C- INS 5RVC$MOUNTAIN$T LLC PHONE (303)431-9351
MAX
34346365 (AIC,No,Ext):
5440 WARD RD STE 215 e-MAIL
ARVADA C 0 80002
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A! Hartford Underwriters Insurance Company 30104
INSURt 0 INSURER B:
ALL AMERICAN BACKFLOW INSURER C:
2433 E I ST STAPT 103
LOVELAND CO 00537-5957 INSURER D:
INSURER E:
INSURER F;
COVERAGC$ 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,NOT)AIITHSTANDING ANY REQIJIREIV!ENT,TERM OR CONDITION OF ANY CONTRACT OR OTI-IER DOCUMENT WITH RESPECT To WilicH 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 PAIL)CLAIM,-,.
TYPE OF POLICY NUMBERimpICY LIMITS
I'M .......... ............'-'.—
L.T S W V h)DIyYYY'1 IMMOMY Yyy�
(.",(.)MMf-_-RCIAL LIABILITY FACH OCCURRENCE $2,000,000
OLAIMS-MAOE 7X OCCLIN D iF.-.'T0 RENT 6 $1,000,000
00"M1,4"s Cxr1,1rrwJf;0I
X General Liability MED EXP(Any omp parzon) $10,000
x ..........
A 34 SBM AZ8KA4 09"08"2025 09/08/2026 S2,000,000
C'M,'.'.N%A0GRKAATE.LIMIT APPLI6Z','PV.,'-.ft. $4,000,000
N POLICY nr�o, LOC ICTS,COMPICIP AGG $4,0001000
1:1 El
AUTOMOBILE LIA6101-Y COMMNED SINGLZ LIMIT
ANY AUTO 00DILY INJURY(PkIr r)�r-w)
11"OS -30DILY INJURY(Per aexident)AITI S A
".III'"�r
'NPERTY DAMN.'"
AkJY'()'8' AUT06 (Per ovoident)
..................
UMBRELLA LIAR
IxXLESSLIAS CLAIMS, AQ4GRF.-.:GAT E.
$
RE.?
WORKERS COMPENSATION PrR OTI-I.-
AND EMPLOYERS!LIABILITY STATUTE ER
ANY YIN
PROPRIE7()R/PAr�l*NF,,TJA-XE(.'L)TI Vf-' NI A WL
" E P.`..L DISEASE1,EA LMP1 Ei
OPFICEFUMEMUE'R EXCLUDED?
(Manciatory In NH)
It t)Q*pritm lindor E.L DISEA5E-POLICY LIMIT
grecNirnoiti Or or,omrighis Im.jow
A Frriployniont Practices 34 SBM Liability AZ8KA4 09/08/425 09/08/2026
Each Claim Limit $25,000
Insurance Annual Aggregate I'Milti $25,000
DESCRIPVOW'6F OPERA TIONS/LOCA nONS/VEHICLES(ACORD 101,A40100nal Remarks 5chadule,may beattachad stmore
Those usual to the Insured's Oporations,
CERTIFICATE HOLDER CANCELLATION
The City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Purchasing Dept BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
PO BOX 580 IN ACCORDANCE wi'rH THE POLICY PROVISIONS,
FORT COLLINS CO W522 AUTHORIZED RFPR9$0NTATIV9
0 1988-2015 ACORD CORPORATION, All rights reserved,
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD