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PLUMBING WORX - INSURANCE CERTIFICATE
ACORD CERTIFICATE OF LIABILITY INSURANCE CSR JH DATE (MM DD YYYY) PLUM600 11 14 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Colorado Insurors Service, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 333 W . Hampden Avenue # 900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80110 Phone: 303-789-1854 Fax: 303-762-0644 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Colorado CasualtyIneuranva Co INSURER B: Plnnacol Assurance Com an Plumbing Worxot Attn: Ra Botliner 5884 Robb Street Arvada CO 80004 INSURER C: Auto-Orrnera Ineuranva company P Y 18988 INSURER D 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y EF EC IVE DATE MDDN P ALTIC EXPI TI N E MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1000000 A I X COMMERCIALGENERALLIABILITY CLAIMS MADE K OCCUR CPP 0530530 05 08/17/05 08/17/06 LU ,PREMISES Eaoccurence) $ 100000 MED EXP (Any one person) s 5000 PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO LOC JECT AUTOMOBILE UABIUTY ANYAUTO COMBINED SINGLE LIMIT (Ee accident) $1000000 BODILY INJURY (Per person) $ C x ALL OWNED AUTOS SCHEDULED AUTOS 4513792600 07/15/05 07/15/06 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS j[ PROPERTY DAMAGE (Per axident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE I $ RETENTION $ WORKERS COMPENSATION AND TORY LIMITS ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4063791 11/01/05 11/01/06 E.L. EACH ACCIDENT $ 100000 -- E.L. DISEASE - EA EMPLOYEE -- $ 100000 OFFICER/MEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT I $500000 OTHER i 7 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Plumbing Contractor 2005HOM Pd2:41 CERTIFICATE HOLDER 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 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : Building Department 330 S. College Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft. Collins CO 80522 REPRESENTATIVES. A D R �SE ACORD 25 (2001I08) © ACORD CORPORATION 1988