HomeMy WebLinkAboutCMS MECHANICAL - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S
OMEC-1
DATE (MMIDD71^/)
09/26/04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels S Noe Agency GR
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: Mountain States Insurance Grp
INSURER B: Pinnacol Assurance
INSURER C.
CMS Mechanical SerV1Ce l Inc.
A 609 Technology Circle
Windsor CO 80550
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY TN
DATE MM/FECTI
POLICY EXPIRATION
DATE MM/DDIYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [X] OCCUR
BINDER
04/27/04
04/27/05
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$100,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
JECT
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
BINDER
04/27/04
04/27/05
(EaCOMBINED SINGLE LIMIT
CO accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
BINDER
04/27/04
04/27/05
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$1,000,000
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4008656
06/01/03
06/01/04
X I TORY LIMITS ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEEI
$100,000
E.L. DISEASE -POLICY LIMIT
1 $ 500 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
FTCOLLP
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 DO SO SHALL
City of Fort Collins
Purchasing Department
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P O BOX 580
REPRESENTATIVES.
Au RIz REPRES
Fort Collins CO 80521
ACORD 25-S (7/97) OACORD CORPORATION 1988