HomeMy WebLinkAboutHIGH PLAINS MECHANICAL SERVICE - INSURANCE CERTIFICATEDec-26-07 04 38pm From-Brown&Brown 9704844165 T-383 P 001/001 F-887
ACORD CERTIFOCATE OF LIABILITY INSURANCE DIN B2 DATEM IMMroDYY)
HIGH-13 12 26 07
RDDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
)rown & Brown InC ONLY AND CONFERS NO RIGHT S UPON THE CERTIFICATE
L25 8 Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
a 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Port Collin CO 80522-2226
Phone:970-482-7747 Fa:K;970-484-4165 INSURERS AFFORDING COVERAGE NAIL#
NSURED INSURERA MOUNTAYN STATES MUTUAL
High Plains Mechanical Service INSURER PINNACOL ASSURANCE
Inc. -
Atta: Judy Schlemmer INSURER
2020 Airway Avenue INSURERD
Ft. Collins CO 80524 -- �---
:,'OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWRMSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUh1=147 WITH RESPECTTO 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 REMCEO BY PAID CLAP/IS
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LTR N5RRO - TYPE OF INSURANCE POLICY NUMBER DATE MIJIMNY DATE MM1VO'I'm LIMITS
GEN ERAL UABIUfY
+
EACH OCCURRENCE
51, 000, 000
A
X
X COMMERCIAL GENERAL LIABILITY
CPP007999806
12/31/07
12/31/08
PREMSEAIF-o
s100,000
CLAIMS MADE OCCUR
I ED W(Any one Perem)
E10, 000
PERSONAL 6 ADV IWUFIY-1
Ems1 , OO O , Q 0 Q
GENERAL AGGREGATE
E2, 000, 000
GEN LAGGREGATE UMITAPPL)ES PER
PRDDVCTS-CDJI4P PAGG
S2,000,000
POLICY j ECT LOC
A
AUTQMODILE
LIABILITY
ANY AUTO
BAP007999806
12/31/07
12/31/08
C OMBINED SINGLE LIMIT
(Ee B0C.W)
s1, 000,000
X
BODILY INJURY
IPel Derean)
E
ALL OWNED AUTOS
SCHEOULEDAUTOS
BODILY INJURY
(Paaz eenU
3
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
[Per amr,p
3
GARAGE LIABILITY
AUTOONLY EAACCIDENT
3
OTHER THAN EA ACC
AUTO ONLY AGG
ANY AUTO
S
S
"CESSNMBRELLA LU,BILITY
EACH OCCURRENCE
51, 000, 000
A
X OCCUR F_1CLAIMSMAOE
UM8007999806
12/31/07
12/31/OB
AGGREGATE
31,000,000
E _
�$
DEDUCTIBLE
RETENTION E10000
5
B
WORKERS COMPENSATION AND
EMPLovERS LwBnlri
ANY PROPRIETORYPARTNEWID(ECUYIVE
OFFICERJMEMSER EXCLUDED+
4052379
04/01/07
04/01/08
X TORY LIMBS ER
EL EACH ACCIDENT
$500,000
EL DISEASE -EA EMPLOYE
SSOO, 000
11 yc: d—u nDl4 -r
SPECIAL PROVISIONS ball"
"
EL DISEASE - POLICY LIMIT
5500, 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Fax: 221-6707 Attn: Christine Certificate holder is additional insured
under the general liability Per form UND 247, Ed. 04/02,
City of Fort Collins
Attn: Christ Lae
281 N College Avenue
Fort Collins Co 80522
CITYFTC SHOULD ANY OF THE ABOVE OBSCRLRED POLICIES BECANCELLED BEPORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURERWILL ENOEAVOR TO MM 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDS R NAMED TO THE LEFT, BUT FAILURE TO 00 SO SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY VINO UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.