HomeMy WebLinkAboutPHILLIPS PLUMBING - INSURANCE CERTIFICATEACORD.a CERTIFICATE OF LIABILITY INSURANCE DATE o7noas /06 DNYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE I NAIC #
INSURED
Phillips Plumbing & Mechanical, Inc.
217 Versaw Court
Berthoud, CO 80513-2228
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INSURER A: Valle/ Norge Insurance
INSURER B: Transportation Insuran
INSURERC: Pinnacol Assurance
INSURER D: National Fire Ins. CO. H
INSURER E:
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.
LT R
NSR
TYPE OF INSURANCE
POLICYNUMBER
DATE(MM/DDIYYE
POLICYI RATE( XPIRATYI
LIMITS
A
GENERAL LIABILITY
C1098549079
08/01/06
08/01/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 5-1 OCCUR
DAMAGE TO RENTEDPREMISES E,�ccurrr..t
E300OOO
$5 000
MED EXP (Any one person)
X PD Ded:1.000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2 00O OOO
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X PEA LOC
PRODUCTS -COMP/OP AGG
$2 000 000
D
AUTOMOBILE
X
LIABILITY
ANY AUTO
C1098549065
08/01/06
08/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIREDAUTOS
X
NON -OWNED AUTOS
BODILY INJURY
(Per accident)$
X
PROPERTYDAMAGE
(Per accident)
E
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
1
$
AUTOONLY: AGG
B
FXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
C2072553069
08/01/06
08/01/07
EACH OCCURRENCE
s3.000.000
AGGREGATE
$3 000 000
DEDUCTIBLE
X RETENTION $ 10000
$
C
WORKERS COMPENSATION, AND
EMPLOYERS' LIABILITY
4059628
08/01/06
08/01/07
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1 0OO 0OO
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
Ii yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYEE
$1 000 000
E.L. DISEASE -POLICY LIMIT
$1000000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
PO BOX 580
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _An DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Ft Collins , CO 80522
IMPOSE NO OBLIGATION OR LIABILI NY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES.
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AUTHORIZED REPRESENT TIVE—
F160-ck 'r REPRESENT
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t��� "Va/ T #m353266 DLO 0 ACORD CORPORATION 1988