HomeMy WebLinkAboutWILLARD WRIGHT PLUMBING - INSURANCE CERTIFICATE (3)acoRn.. CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE (MMIDD
LLA-1 02/13/04
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
INSURED INSURER A: Pinnacol Assurance
INSURER B.
Willard Wright Plumbing &
Heating, Inc- NsuRERC:
1556 Riverside Drive wsuRERD:
Fort Collins, CU 80524 —
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
LTR
TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
P
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F-1 OCCUR
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
I
GENERAL AGGREGATE
$
PRODUCTS - COMPIOP AGG
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO F__j
JECT I ILOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
11 ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
is TORY LIMITS ER
A
EMPLOYERS'LIABILITY
4066636
03/01/04
03/01/05
E.L.EACH ACCIDENT
s500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE -POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
All Operations - All Locations. Co -Employment Endorsement/The Employer
Source.
CERTIFICATE N[H nFR I N I AnnITInNAI INSIIRFne INSIIRER LETTER- CANCELLATION
FTCOLLI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City Of Ft. Collins
Purchasing Division
P.O. BOX 580
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH,_� E i EEL.@UT.FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF AN K [�p SiU ITS AGENTS OR
)i
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Michael D . Pierce--- -----
Ft. Collins, CO 80522
AGURU 25-5 (7197) uAI-UKU L VKP UKA 1 IUry 1 V50