HomeMy WebLinkAboutMERLE MULLET M M PLUMBING - INSURANCE CERTIFICATE� ACORD. CERTIFICATE OF LIABILITY INSURANCE UODD 07-02-2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FINANCIAL DIMENSIONS LTD/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342695 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. BOX 33015 78
SAN ANTONIO TX 265
INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Casualty Ins Co
INSURER B:
MERLE MULLET DBA M & M PLUMBING INSURERC:
14459 WCR 18 1/2 INSURER D:
FORT LUPTON CO 80621 INSURER E:
mVFRA(,FR
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 TYPE OF INSURANCE POLICY NUMBER
LTR
POLICY EFFECTIVE
DATE MMIDDIYV
POLICY EXPIRATION
DATE MM/DD/VV LIMITS
ERAL LIABILITY
I EACH OCCURRENCE 1 $1 , 000, 000
ACOMMERCIAL
GENERAL LIABILITY
I
34 SBA PB6441
02/03/04
02/03/05 1 FIRE DAMAGE (Any one fire) s300, 000
CLAIMS MADE U OCCUR
MED EXP (Any one person) $1 0 , 0 0 0
X Business Liab
PERSONAL &ADV INJURY $1, 000, 000
GENERAL AGGREGATE s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG I s2,000,000
POLICY X PRO- LOC
JECT
AUTOMOBILE
LIABILITY
I COMBINED SINGLE LIMIT
$
ANY AUTO:
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
$ '
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE $
OCCUR CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATU- OTH-
TO V IMITS R
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
rE.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
s
OTHER
i
DESCRIPTION OF OPERATIONS/LOCATIONS(VENICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
THE CITY OF FT COLLINS
281 N. COLLEGE AVE
FORT COLLINS, CO 80522
DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
1IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATI V ES.
AUTHORIZED REPRESENT E
^"wnw �U_J I""1 0 ACORD CORPORATION 1988
ACORD. CERTIFICATE OF LIABILITY INSURANCE UODD 07-02 2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FINANCIAL DIMENSIONS LTD/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342695 P: (866)467-8730 F: (877) 905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURERA:Hartford Casualty Ins Co
INSURER B:
MERLE MULLET DBA M & M PLUMBING INSURER C:
14459 WCR 18 1/2 INSURER D:
FORT LUPTON CO 80621 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 TYPE OF INSURANCE
LTR
POLICY NUMBER POLICY EFFECTIVE POLICY EX►IRATION
DATE MM/DD/W DATE MM/DD/VY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE 1 $ 1 , 0 0 0, 0 O 0
A
COMMERCIAL GENERAL LIABILITY
34 SBA PB6441
02/03/04
02/03/05 1 FIRE DAMAGE (Any one fire) I 5300, 000
CLAIMS MADE ILK OCCUR
MED EXP (Any one person) i $10 , 000
X Business Llab
PERSONAL &ADV INJURY $1, 000, 000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG 52 , 000, 000
POLICY I X PECT RO LOC
J
i
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
li (Ea accident)
9
9
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR a CLAIMS MADE
AGGREGATE $
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' AINLITY
LI
WC SLIMIT O TH-
TORV IT ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
THE CITY OF FT COLLINS
2 81 N . COLLEGE AVE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
FORT COLLINS, CO 80522
AUTHORIZED REPRESENT}p�_-LXE
""wn" "_0 II/a/1 0 ACORD CORPORATION 1988