HomeMy WebLinkAboutCCI PLUMBING - INSURANCE CERTIFICATE (2)EAAMM
INSURANEE�
�G0.OUP �
AGENCY James Schneider, LUTCF
7853 E, Arapahoe Ct. *1400
NAME Englewood, CO 80112
& 303-694-2121
ADDRESS
ST, 07 DIST, 11 AGENT 327
INSURED CCI PLUMBING, INC
NAME 9949 W. 25TH AVE
1<
ADDRESS LAKEWOOD, CO 80215
COMMERCIAL CERTIFICATE OF INSURANCE
Issue Date: 8/31/2004
This certificate is issued as a matter of information only and confers no
rights upon the certificate holder. This certificate does not amend,
extend or alter the coverage afforded by the policies shown below.
COMPANIES PROVIDING COVERAGE:
Company
Letter A TRUCK INSURANCE EXCHANGE
Company
Letter B FARMERS INSURANCE EXCHANGE
Company
Letter C MID-CENTURY INSURANCE COMPANY
Company
Letter D
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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO,
!
! !
POLICY EFF
!POLICY EXP
!
LTR,!
TYPE OF INSURANCE ! POLICY NUMBER !
DATE(MMIDO/YY)!DATE(MM/0011Y)!
POLICY LIMITS
'
'General
A
!
!GENERAL LIABILITY
!
!Aggregate
is
2,000,000
! Commercial General Liability ! !
!
!Products-Comp/Ops
!
!
i
!Aggregate
is
2,000,000
!X
! - Occurrence Version i
'
'
'
!Personal &
!
! Contractual - Incidental Only ! 04590 - 14 - 41 !
10/28/2003
! 10/28/2004
!Advertising Injury!$
1,000,000
! Owners & Contractors Prot. '
!
!Each Occurence
:
!8
11000,000
!Fire Damage
! !
!
(Any one Fire)
!3
75,000
! ' !
'Medical Expense
! (Any Person)
'
1$
5,000
one
'Combined
'
A
! AUTOMOBILE LIABILITY ! !
!Single Limit
I
!s
I
2,000,000
!
! All Owned Commercial Autos ! '
!
!Bodily Injury
!
!X
! Schedule Autos
! (Per Person)
!s
!X
! Hired Autos ! 04590 - 14 - 41 !
10/28/2003
! 10/28/2004
!
'
!X
! Non -Owned Autos !
!
!8odily Injury
!
! Garage Liabilty '
!
! (Per Accident)
!s
!
' '
!Property Damage
!8
,
i
i i i
i
'Garage Aggregate
is
!
! UMBRELLA LIABILITY ! !
!
I
!Limit
,
is
STATUTORY
'
C
!X
! WORKERS' COMPENSATION
'
i AND ! N0408 - 82 - 32 !
9/09/2004
! 9/09/2005
!Each Accident
!3
500,000
EMPLOYERS' LIABILITY ' !
!
!Disease -each empl,!f
500,000
'Disease -policy lim'3
500,000
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
NAME CITY OF FT COLLINS EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30
& PO BOX 580 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT
ADDRESS FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
FT COLLINS, CO 80522 OF ANY KIND UPON JX,CDMPANY, ITS AGENTS OR REPRESENTATIVE,