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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