HomeMy WebLinkAboutPAULS PLUMBING - INSURANCE CERTIFICATE (2)„ CERTIFICATE OF LIABILITY INSURANCE °"'�'M""°
ACORD
07/02/202003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ALBRECHT INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
525 N DENVER AVE. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CO 80537
970-669-4469 INSURERS AFFORDING COVERAGE
970-669—
INSURED PAUL' S PLUMBING & HEATING
P.O. BOX 1556
LOVELAND, CO 80539
INSURER A: MID—CENTURY INSURANCE
INSURER B:
INSURER C:
INSURER D:
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.
INSIR LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICYOATEIEFFECTIVE
POMIDDFYYI LICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1 0 0 0, 0 0 0
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
FIRE DAMAGE (Any one fire)
a 10 0 0 0 0
MED EXP (Arty one person)
s5,000
A
04592 35 23
07-01-03
07-01-04
PERSONAL & ADV INJURY
$1, 000, 000
GENERAL AGGREGATE
$ 2 0 0 0 0 0 0
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
X POUCY E T LOC
AUTOMOBILE
LIABILITY
ANY AUTO
SINGLE LIMB
(C a accident)
$1,000,000
BODILY INJURY
(Par person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
A
HIRED AUTOS
NON -OWNED AUTOS
O4592 35 23
07-01-03
07-01-04
BODILY INJURY
(Par accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
a
ANY AUTO
OTHER THAN FA ACC
a
$
AUTO ONLY: AGG
EXCESS LIABILITY
OCCUR F—ICWMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
a
DEDUCTIBLE
E
RETENTION $
$
WORKERS COMPENSATION AM
EMPLovERs'LIAINLITY
N0408 22 20
03-01-03
03-01-04
X T CRY LIMBS ER
E.L. EACH ACCIDENT
$500 000
A
E.L. DISEASE -EA EMPLOYEE
s500, 000
E.L. DISEASE - POLICY LIMIT
$ 5 0 0 0 0 0
OTHER
DESCRIPTION OF OPERATIONSA.00ATION&VEHICLESEXCWSIONS ADDED BY ENOORSEMENTWECIAL PROVISIONS
CITY OF FORT COLLINS
BUILDING DEPT PO BOX 580
FORT COLLINS CO 805220580
(7197)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER W$1 ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR
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