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HomeMy WebLinkAboutHIGH PLAINS MECHANICAL - INSURANCE CERTIFICATE (2)acORv,. CERTIFICATE OF LIABILITY INSURANCE OF ID B2 DATE(MMIDDnVVY) HIGH-13 12 26 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & 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 MOUNTAIN STATES MUTUAL INSURER PINNACOL ASSURANCE High Plains Mechanical Service Inc. Attn: Judy Schlemer INSURER INSURER 2020 Airway Avenue Ft. Collins CO 80524 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE I OR THE POLICY PERIOD INDICAI ED NOTWITHSTANDING ANY RE OUIREMENT TERM OR CONDITION OF ANY CONTRACT OR 0 "HER 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'ADD POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY OATS MMIDDIYY LIMITS LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP007999806 12/31/07 12/31/08 DNMA PREM SESO(Ea occccu Dence) $100,000 kGENERAL CLAIMS MADE KOCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $2,000,000 1GEN —1 POLICY JERCOT LOD A AUTOMOBILE LIABILITY ANY AUTO BAP007999806 12/31/07 12/31/08 COMBINED SINGLE LIMIT L. accitlenp $1, 000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON OWNED AUTOS ( ROr PROPERTYDAMAGE $ J GARAGE LIABILITY AUTOONLY EAACCIDFNT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 A RE OCCUR CLAIMSMADE UMB007999806 12/31/07 12/31/08 AGGREGATE $ 1,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS LIABILITY A6IPROPRIETOR,CARTNERIEXE .T,vL 4052379 04/01/07 04/01/08 X TORY LIMITS ER EL EACHACCIDENT $ 500, 000 EL DISEASE EA EMPLOYEE $ 500,000 OFFICERIMLMBER EXCLUDED? If yes describe under SPEC JAL PROVISIONS below EL DISEASE POLICY LIMIT $ 500,000 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 = 247, Ed 04/02. CERTIFICATE HOLDER CANCELLATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBLD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City Of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Attn: Christine 281 N College Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES AUT RED REPRES E ACORD 25 (2001108) © ACORD CORPORATION 1988