The URL can be used to link to this page

Home My WebLink AboutMECHANICAL SOLUTIONS SIMPSON COMPANY - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE 12/01/zoos) PRODUCER (970)484-0097 FAX (970)484-7077 Herbert -Leavitt Longmont 2537 Research Blvd Suite 202 Fort Collins, CO 80527-2289 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mechanical Solutions, LLC DBA: Simpson Company 4800 Innovation Dr Ft Collins, CO 80525 INSURERA Hartford INSURERB Pinnacol Assurance 41190 INSURER C: INSURER D. INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IkDO'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDNY) POLICY EXPIRATION DATE IMMIODMI LIMITS GENERAL LIABILITY 34UUNAK6289 09/30/2006 09/30/2007 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300, 00 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10,000 A X Blkt Addl InsdS PERSONAL BADVINJURY $ 1,000,00 X Bl kt WOS GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PJECTRO LOC AUTOMOBILE LIABILITY ANY AUTO 34UUNAK6289 09/30/2006 09/30/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1, OOO , OO X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY 34RHUAK7779 09/30/2006 09/30/2007 EACH OCCURRENCE $ 5,000,000 X OCCUR El CLAIMS MADE AGGREGATE $ 5 , 000 , 00 $ A $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 4038416 01/01/2007 01/01/2008 WC STATUS oTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below BLANKET WAIVER OF SUBROGATION. E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 — E.L. DISEASE - POLICY LIMIT $ 1,000,000 A nand Marine 34UUNAK6289 09/30/2006 09/30/2007 Installation Fltr $3SO,000 lmt Temporary Storage $300,000 lmt Transit Coverage $100,000 lmt DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ll Operations / All Locations Certificate holder is added as Additional Insured as respects general liability and work performed by the named insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Col 1 l ns 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • Doreen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Steve Ewing ACORD 25 (2001108) FAX: (970)224-6134 CACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)