HomeMy WebLinkAboutCHRIS BUTTS HVAC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agi./Dist.)
Butts, Chris, DBA Chris Butts HVAC Timothy W. McNear (970) 522-2680
3069 Sedgwick Cir 508 W Main St.
Loveland, CO 80538 P.O. Box 667
Starting, CO 80751 (006/316)
This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder.
This certificate does not amend, extend or alter the coverage afforded by the policies listed below.
1:OV6RA�aE3 , .';
This is to certify that 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.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
Mo Day. Yr(Mo. Day, Yr
Homeowners/
Bodily Injury and Property Damage
Mobilehomeowners Liability
Each Occurrence $ 1000
Boatowners Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence $ '000
Farm/Ranch Liability
Farm Liability & Personal Liability
Each Occurrence $ 000
Famt Employer's Liability
Each Occurrence $ 000
Workers Compensation and
Statutory .....:+e....
Each Accident $ 000
Employers Liability t
Disease - Each Employee $ '000
Disease - Policy Limit $ ,000
General Liability
General Aggregate $ 2,000 000
Products - Completed Operations A ate $ 2,000 ,000
lK Commercial General
Liability (occurrence)
❑
❑
05-XF7297-01
04/15/2005
04/15/2006.000
Personal and Advertising Injury $ 1,000
Each Occurrence $ 1,000,000
DamaQe to Premises Rented to You $ 100,000
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Occumencet t $ 000
Aggregatett $ '000
Liquor Liability
Common Cause Limit $ '000
Aggregate Limit $ ,000
Automobile Liability
❑ Any Auto
Bodily Injury- Each Person $ 000
❑ All Owned Autos
BodilyInjury - Each Accident $ 000
❑ Scheduled Autos
❑ Hired Auto
Property Damage $ 000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ '000
Excess Liability
❑ Commercial Blanket Excess
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Each Occurrence/Aggregate $ 000
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / RESTRICTIONS / SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
HVAC elected to be covered as employees under this policy.
t t Products -Completed Operations aggregate is equal to each
occurrence limit and is included in policy aggregate.
CERTIFl6ATEHOLO101SHAME-ANDAdf?I)ESS -
CAPiCELtATfUN
• City Of Fort Collins
281 North College Ave
Fort Collins, CO 80522
tn Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail '( days)
written notice to the Certificate Holder named, but failure to mail such
notice shall impose no obligation or liability of any kind upon the
company, its agents or representatives. `TO days unless different
number of days shown.
IM This certifies coverage on the date of issue only. The above
described policies are subject to cancellation in conformity with their
terms and by the laws of the state of issue.
DATEISSUED
IZED REP ES T VE
2/2/2006
U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02