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HomeMy WebLinkAboutCMS MECHANICALS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDNYYY) CM3ME-1 04 19 07 PRODUCER FICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 COVERAGE AFFORDED BY THE POLICIES BELOW. PINSURERS Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax: 970-484-4165 FORDING COVERAGE NAIC # INSURED INSURERA: Mountain States Mutual CMS Mechanical Services, Inc., Ms. Kristen Luca INSURERS: Pinnacol Assurance INSURER C: 609 Technologgyy Circle, Suite A Windsor CO 80550 INSURER D: INSURER E: 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. LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE (MMIDDIM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR - CPP010552803 04/27/07 04/27/08 EACH OCCURRENCE $ 1 , 000,000 PREMISES(Eeowurence) $100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS -COMPIOP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP010552803 04/27/07 04/27/08 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 r r X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X I OCCUR �CLAIMSMADE DEDUCTIBLE X RETENTION $10 000 UMB010552803 04/27/07 04/27/08 EACH OCCURRENCE $ 1 , 000 , 000 AGGREGATE $1,000,000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N yes, describe under SPECIAL PROVISIONS below 4105092 01 06 //07 06/01/08 X TORY LIMITS ER E.L. EACH ACCIDENT $SQQ, QQQ E.L. DISEASE - EA EMPLOYEE $ 500 , 000 E.L. DISEASE -POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITYFT5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 8 1ChaColCJ 2IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 81 N College Avenue Fort Collins CO 80522 REPRESENTATIVES. CORPORATION 7 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMIDDIYYYY) CMSME-1 04 19 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Broom 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mountain States Mutual INSURER B: Plnnacol Assurance CMS Mechanical Services, Inc., Ms. Kristen Luca 609 Technologgyy Circle, .Suite A Windsor CO 8950 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. IMOK LTR RUU' INSQ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY DATE MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR CPP010552803 04/27/07 04/27/08 EACH OCCURRENCE $ 1 , 000 , 000 PREMISE occurence $100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP010552803 04/27/07 04/27/08 COMBINED DSINGLE LIMIT $1r000 OOO X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10 000 UMB010552803 04/27/07 04/27/08 EACH OCCURRENCE $ 1 , 000 , 000 AGGREGATE $ 1,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY OFFICEWMEMSR/PARER EXCLUDED? XECUTIVE ANY PROPRIETOR/PARTNER/EXECUTIVE Des describe under SPECIAL PROVISIONS below 4105092 06/01/07 06/01/08 X TORV LIMITS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,0()0 E.L. DISEASE - POLICY LIMIT $ 500 000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYFTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT10 City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Building/Zoning Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P . 0. Box 580 281 N College Avnue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTATIVES. ALITH17REPRESTJJIVE IWNJa ACORD 25 (2001/08) © ACORD CORPORATION 1988