HomeMy WebLinkAboutPLUMBING SERVICES - INSURANCE CERTIFICATEACM CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE (MM/6/ 04
PLUM-2 05 204
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency FC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1614 Oakridge Drive, Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-229-9304 Fax:970-229-1398 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA: Mountain States, Insurance Grp
INSURERB: Pinnacol Assurance
Plumbing Services Inc. INSURER C:
766 Ptarmig an Circle NSURER D:
Loveland CO 80538
INSURER E:
COVFRAGFR
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
DO
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MM/DDITEI
PDATE MM/DDm N
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
X Contractual
CPP71523-04
06/01/04
06/01/05
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES (Ea occurence)
$100,000
MED EXP (Any one Person)
$ 10 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYF_j PROECT LOC
J
PRODUCTS-COMP/OP AGG
$210001000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYER
ANY PROPRIETOR/IETOR/ILITYPARTNER/EXF_CUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
2029650
06/01/04
06/01/05
X TORV LIMITS ER
E.L.EACHACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT 1
$ 1 , 000 , 000
$ 1 , 000 , 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ALL OPERATIONS -ALL LOCATIONS
FORTCOL 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 P.O. BOX 580 REPRESENTATIVES.
FT. COLLINS CO 80522-0580 AU RIZ REPRESM, i 1 ^ C
ACORD 26 (2001=1 0 ACORD CORPORA