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HomeMy WebLinkAboutD AGOSTINO MECHANICAL AC H PRFESSIONALS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMiDDIYYYY) DAGOS-1 01 30 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L . C . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 920 Main, Suite 1700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kansas City MO 64105 Phone: 816-842-4800 Fax: 816-472-5018 INSURERS AFFORDING COVERAGE NAIC # ^� ^� INSURERA: Lexington Insurance_ Co* D'AAgqostino Mechanical INSURERB: Landmark American Ins Co.* Formerly As, iPr INSURERC: American Casualty Co* Formerly AC(//H Professionals 4110 N. Valle Drive INSURER D: Builders Association Self -Ins Longmont CO R504 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. LTRINSRE TYPE OF INSURANCE POLICY NUMBER DATE MID PDOAUTCEYI MMID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0OCCUR 0426679 01/31/04 01/31/05 EACH OCCURRENCE $ 1000000 PREMISES Ea o=rence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $1000000 GENERAL AGGREGATE $ 2000000 GERL AGGREGATE LIMIT APPLIES PER: POLICY JPET M LOC PRODUCTS-COMP/OP AGG $ 1000000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRE15AUTOS' ,. _. NON -OWNED AUTOS BUA2075963544 - 01/31/04 01/31/05 COMBINED SINGLE LIMB (Ea accident) $1000000 X BODILY INJURY (Per Peron) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ . GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ $ B EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ 2277244D 02/01/04 02/01/05 EACH OCCURRENCE $ 2000000 AGGREGATE $ 2000000 $ $ D WORKERS COMPENSATION AND EMPLOYERB'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below 04WC0397 01/01/04 01/01/05 WC STATU- TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION CITYOFT SHOULD ANY OF THE ABOVE 13ESCPABED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins Colorado 281 N. College IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUTHO ENT ACORD 25 (2001108) 0 ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID C DATE (MWDDIVYYY) DAGOS-1 Ol 30 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas McGee, L. C. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 920 Main, Suite 1700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kansas City MO 464105 Phone:816-842-4800 Fax:816-472-5018 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A: - Lexington Insurance CO* D'Agostino Mechanical INSURERB: Landmark American Ins Co.* Content A Inc. INSURERC: American Casualty Co* Formerly AC HyProfessionals Longmont CO n Drive INSURER D: Builder! Association Self -In U INSURER E: 14011J =I:7_ C1=Izl 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. lNbK LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID POLICY DATE MMID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7OCCUR 0426679 01/31/04 01/31/05 EACH OCCURRENCE $ 1000000 PREMISES Eaocwrence $ MED EXP (Any me person) $ PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- . JECT. LOC PRODUCTS-COMP/OP AGG $ 1000000 C - ' . - AUTOMOBILE LIABILITY ANY AUTO , AL'L OWNED AUTOS. :'... SCHEDULED AUTOS HIRED AUTOS .' NON -OWNED AUTOS BUA2075963544 � � ' .. 01/31/04 01/31/05 .. .. COMBINED SINGLE LIMIT (Ea accident)-. $1000000 X ... BODILY INJURY (Per pion) .. . $ BODILY INJURY (Par accldedp $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESSIUMBRELLA LIABILITY X OCCUR FICLAIMSMADE DEDUCTIBLE RETENTION $ 2277244D 02/01/04 02/01/05 EACH OCCURRENCE $ 2000000 AGGREGATE $ 2000000 $ $ $ D WORKERS COMPENSATION AND EMPLOYERILITY ANY PROPRIETORIETORIPARTNER/EXECUTIVE OFFICERtMEMBER EXCLUDED? M yes describe under SPECIAL PROVISIONS below 04WC0397 01/01/04 01/01/05 TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS All operations conducted by the insured. Subject to the policy terms and conditions. �cn nr,v��c nvc✓o� v.+nvccv�,v,. FORTC01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 281 N. College Fort Collins CO 80522 REPRESENTATIVES. 25 (2001108) 0 ACORD CORPORATION 1988