HomeMy WebLinkAboutMIDWEST PLUMBING HEATING - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE
09/18Mµ 20 31
PRODUCER (303) 776-5122 FAX (303) 776-5495
First Mai nStreet Insurance
512 4th Avenue
P.O. Box 847
Longmont, CO 80502
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC 0
INSURED Midwest Plumbing & Heating, Inc.
P 0 BOX 534
Frederick, CO 80530-0534
INSURERA: Zurich Insurance
INSURER B:
INSURER C:
INSURER D:
INSURER E:
Aimee
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI
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
4WL
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMOIXYM
POLICY EXPIRATION
DATE IMUnXWM
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Q OCCUR
SCP32088552
09/18/2003
09/19/2004
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
$ 300 OO
MED EXP (My one person)
$ 10 QQ
PERSONAL & ACV INJURY
S 1 QQQ QQ
GENERAL AGGREGATE
S 2,000,00
GEML AGGREGATE LIMIT APPLIES PER:
POLICY E� LOC
PRODUCTS - COMP/OP AGG
S 2,000,00(
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMB
(Ea accident)S
BODILY INJURY
(Per pe )
S
BODILY INJURY
(Per accident)
S
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - FA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGO
S
S
EXCF.SSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
S
AGGREGATE
S
S
S
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEWEXECUTNE
OFFICERIMEMBER EXCLUDED?
M yyeess,, doudbe urKW
gpECIAL PROVISIONS below
I WC STALl,TU- OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
I S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CCOTICI@ATC un1 nco t-A,dCC1 I ATInu
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,
City of Fort Collins
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
P.O. BOX 590
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES,
Ft. Collins, CO 80522
AUTHORIZED REPRESENTATIVE
Karen Sterkel ANN
ACORD 25 (2001108) ®ACORD CORPORATION 1998