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