HomeMy WebLinkAboutPAULS PLUMBING - INSURANCE CERTIFICATEACORD„ CERTIFICATE OF LIABILITY INSURANCE
°"'�"'"'/20
06/O1/2004
PRODUCER
ALBRECHT INSURANCE AGENCY
525 N DENVER AVE.
LOVELAND, CO 80537
970-669-4469
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
INSURED PAUL' S PLUMBING AND HEATING
P.O. BOX 1556
LOVELAND, CO 80539
INSURERA: MID CENTURY INSURANCE EXCHANGE
INSURER B
INSURER C:
INSURER D:
INSURER E.
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.
LTR
TYPE OF INSUtANCE
POLICY NIMBER
LNBTS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ®OCCUR
04592 35 23
07-01-04
07-01-05
EACH OCCURRENCE
$1 , 00 0 , 000
FIRE DAMAGE (My am Se)
$10 0 , 00 0
MED EXP WN me pnam)
$5,000
PEFSONAL&ADVMAIRY
$1,000 000
GENERAL AGGREGATE
s2,000,000
OWL AGGREGATE UNIT APPLIES PER:
X POLICY PR0. LOC
PRODUCTS -COMPIOP AGG
52,000,000
A
AUTOMOBILE
LIABNTY
ANY AUTO
ALL OWED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NONOWNEDAUTOS
O4592 35 23
07-01-04
07-01-05
COMBINED
(EamoodeM) SINGLE UNIT
A1,000,000
BODILY INJURY
(PbT Deem)
s
X
BODILY INJURY
(Pw ice)
i
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
S
OTHERTHAN EAACC
AUTOONLY: AGO
$
$
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION a
EACH OCCURRENCE
A
AGGREGATE
$
S
$
$
A
YYORYERS COMPdIBAlION AND
EMPLOYERS LIABILITY
N0408 22 20
03-01-04
03-01-05
X TORYUMITS
E.LEACH ACCIDENT
$500,000
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L DOS EASE-POUCY LIMIT
$500 000
OTHER
DESCRIPTION OF OPERA710NSII.OG ADM BY ENDORSEAEMDBPEOAL PROVISIONS
Y I IrI I G �
CITY OF FT COLLINS
B.O. BOX 580 BUILDING DEPT
FT COLLINS, CO 80522-0580
SHOULD ANY OF 7W ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL 10 DAYS AYIS77EN
100710E TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT, BUT FAIUM TO DO SO SHALL
NVOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSLIREK ITS AGSM OR