HomeMy WebLinkAboutROCKY MOUNTAIN PLUMBING - INSURANCE CERTIFICATEACOR = MATE OF LIABILITI
.,...�, DATE (MM/DDM/)
CE , 08/06/2007
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DENNIS PFAUTH INSURANCE AGENCY
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
921 KIMBARK ST
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
LONGMONT CO 80501
_
COMPANY
303 776-3118
A
INSURED ROCKY MOUNTAIN PLUMBING HYDROHEAT INC
780 N 2ND STREET
COMPANY
g TRUCK INSURANCE EXCHANGE
COMPANY
BERTHOUD, CO 80513
C
COMPANY
D
COVE.. 8' ..::,,. ' iI"" ;:. �� : N 4Z,4,' �.V.x't'.:, x
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 B Y 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.
CO
LTR
TYpE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DDNY)
POLICY EXPIRATION
DATE IMM/DDNY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$
PRODUCTS-COMPIOPAGG
E
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER 'S& CONTRACTOR'S PROT
FIRE DAMAGE (Anyone fire)
$
MED EXP (Anyone person)
E
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANYAUTO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
(Per accident)
y
HIRED AUTOS
NON -OWNED AUTOS
A
PROPERTY DAMAGE
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
k,
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
I
D
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
C0408-71-41
09/01/2007
09/01/2008
X TORY LAMBS DER
[L EACH ACCIDENT
C 500,000
EL DISEASE - POLICY LIMIT
$ 500,000
TREPROPPoETOW IN
PART' S/E%ECUTIVE
oEEiCEaS ARE X EXCL
EL DISEASE - EA EMPLOYEE
S 500,000
OTHER
DESCRIPTIONOF OPERATIONS/LOCATIONSNEHICLESISPECIALITEMS
CER A.HOLDE!qft"',::,r• •.
CANCELLA
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CITY OF FORT COLLINS
30 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO BOX 580
FORT COLLINS CO 80522
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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