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HomeMy WebLinkAboutWILLARD WRIGHT PLUMBING - INSURANCE CERTIFICATE (4)ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER /g-d 9S -,2 3'1 3 �` d��'2 dQa�n, o en6 P.O. BOX 1217 CANON CITY, COLD 81212 THIS CERTIFICATE IS ISSUED AS A MATTER OR 1 RMATION.'; ONLY AND CONFERS NO RIGHTS UPON THEN TIFICATE HOLDER. THIS CERTIFICATE DOES NOT. AMEND;eEXTENO OR ' ALTER THE COVERAGE AFFORDED BY THE POl:IC1ES BELOW. t� INSURERS AFFORDING COVERAGE a INSURED 1uG• p C o'- SS �1� /\�,/�e-�%Z/P�✓C' f' o,Z�I`!•�3 INSURER A: � ' i. INSURER B: :'.` INSURER C: "rw INSURER D: •.�I!'„7t •1ri!'rl v r„ + INSURERE: ,n �%11i`�.•11,�,��1 ' 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'CONDITION3 OF SWCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. x � ' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MM/DDNY) POLICY EXPIRATION DATE (MMIDDNY) - ,, ;•� n' uMRSDATE , : - � ENERAL LIABILITY COMMERCIAL GENE,,R(LA�L LIVABILITY CLAIMS MADE OCCUR 10 a sad 3 _�-�'� -q EACH OCCURRENCE S .14600 vojxxi I FIRE DAMAGE (Anyone fire) S ll *p*pS ;il'%i,I MED EXP (Any one person) PERSONAL S ADV INJURY S 5 'i°: vi., S OOQ/� ', GENERAL AGGREGATE 1 ,:v:$ C--wm"S OEN'L AGGREGATE LIMIT APPLIES PER: POLICYF-1 PRO- LOC PRODUCTS - COMPIOP AGOr : S 77 ' (Iod:'?f', .+-•i ;r, "`),' AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB'' (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS ' NON -OWNED AUTOS •• BODILY INJURY (Per Penton) 'r%' `! Iy BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ' GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ ANY AUTO i.�. $ EXCESS LIABILITY OCCUR CLAIMS ADE fig i .ASS+ EACH OCCURRENCE $ '. AGGREGATE. $� DEDUCTIBLE RETENTION S ..hY �. F"1. S l: $ �"FC, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TH- RY I ER E.L. EACH ACCIDENT' S, E.L. DISEASE - EA EMPLOYE $ X E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS I C/ CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION �. (• ` "t` / 1 O©� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFQRE THE EXPIRATION- DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL•Vi C••-/\ DAYS- WRITTEN i NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR r, ,/�lJ/,AF/� G.l, /� ���iTJJ CJ1•U R ESENTATIVES. h.� AU H RIZEDREPR EN TIVE --- Ir,-I_111I I/, }A- ACORD. CERTIFICATE OF LIABILITY INSURANCE /°"; .` PRODUCER r9-a�5 - 3'7 3 THIS CERTIFICATE IS ISSUED AS A MATTER 01%1 RMATION' ; " S y¢ ran cRa �9e»i ONLY AND CONFERS NO RIGHTS UPON THE:.; TIFICATE, HOLDER. THIS CERTIFICATE DOES NOT. AMEND;vEXTEMOM P.O. BOX 1217 ALTER THE COVERAGE AFFORDED BY THE POLIDIES'BELOW.. 1 INSURERS AFFORDING COVERAGE CANON CITY, COLO 81212 INSURED yNG INSURER A: q,7L le-r &140'pi INSURER B: INSURER C: nA INSURER D: ...!1!'!,!•� .irl! j1:r^ �•Y`�4s, INSURER E: '.Ihn+, rirlt ,-vi '► COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINGS -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.,W POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. a{.,Irrt'I Ili "N I R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDNY) POLICY EXPIRATIONDATE DATE (MWDDNYI LIMITS . ✓,' k OE ERA LIABILITY EACH OCCURRENCE f �IJ - : d:4i Y COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one Ore) S %700vs CLAIMS MADE OCCUR a 4i3 'Z'-, MED EXP (Any one psreon) ' PERSONAL 6AOVINJURY $ S wo'i`'. • `✓. $ 000 a,10 sac) �1_�-�'� -C, v/ 1coa GENERAL AGGREGATE 1 !:1: `S 680: oma GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO: POLICY 7 PRO- LOC .-.i `r !"~u• AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $``� ANY AUTO (Ea accident) ALL OWNED AUTOS • -• BODILY INJURY -! SCHEDULED AUTOS (Per person) BODILY INJURY S HIREDAUTOS NON -OWNED AujOS - (Per accident) PROPERTY DAMAGE (Per accident) $ •`�'i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT f •' OTHER THAN EA ACC $, ANY AUTO .y $ AUTO ONLY: P.Gp EXCESS LIABILITY OCCUR CLAIM(ADE �, p�Y' EACH OCCURRENCE $ r4 `. AGGREGATE-. f f "( DEDUCTIBLE J *• L $ RETENTION $ I' $ WORKERS COMPENSATION AND WC STATU. OTH.TORY LIMITS ER •�'���^,` EMPLOYERS' LIABILITY E.L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONMEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISP�L PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION I ', SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPOR,E THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL_Vf_C•-J\ DAYS WRITTEN D �QV NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ///J i�,f'/) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR R ESENTATIVES. AU H RIZED REP�EN TIVE �p �'t/ (��/,�) 11