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HomeMy WebLinkAboutH AND H PLUMBING AND MECHANICAL - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE 1 10/22/20 0 76 PRODUCER (806) 3-6301 FAX (806) 376-1449 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Neely, Craig & Walton, LLP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A Member of the K&S Group HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW PO Box 506 Amarillo, TX 79105 INSURERS AFFORDING COVERAGE NAIC # INSURED H & H Plumbing & Mechanical INSURERA American States of Texas P 0. Box 66 INSURERS American States Insurance Co. Amarillo, TX 79105 INSURERC Texas Mutual Insurance Company 0108, 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 OD TYPE OF INSURANCE POLICY NUMBER POLICYDATE EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 04-CC-211719-1 10/13/2007 10/13/2008 EACH OCCURRENCE S 1,000,001 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 200,00I CLAIMS MADE M OCCUR MED EXP (Any one person) $ 10,001 A X PERSONAL & ADV INJURY $ 1,000,001 GENERAL AGGREGATE $ 2,000,001 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 2,000,001 POi PROJECT LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY AGO S ANY AUTO $ EXCESSIUMBRELLA LIABILITY 01-XS-140794 -40 10/13/2007 10/13/2008 EACH OCCURRENCE $ 1,000,00i OCCUR O CLAIMS MADE AGGREGATE $ B 1,000,000 $ 1,000,00� S DEDUCTIBLE $ RETENTION $ 1 WORKERS COMPENSATION AND SBP-0001088994 06/04/2007 06/04/2008 WCSTATu- orn C EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERJEXECUTIVE OFFICERIMEMBER EXCLUDEDI E L EACH ACCIDENT S 500,001 E L DISEASE EA EMPLOYEE $ 500,00 _ If yes describe under SPECIACPROVISIONSbelow EL DISEASE -POLICY LIMIT $ 500,00' A OTHER Commerical Property 04-CC-211719-1 10/13/2007 10/13/2008 $310,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS lumbing and Heating contractor. ertificate holder is named as Additional Insured in regards to General Liability form #CG7835 (02/07) City of Fort Collins Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE IC // YYI M TTP ACORD 25 (2001108) ©ACORD CORPORATION 19£ 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 (2001108)