HomeMy WebLinkAbout110001 HIGH PLAINS MECHANICAL - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY
INSURANCE 2 Da12a6
PRODUCER
Brown & Brown Inc
125 S Howes 5 th Floor
P O Box 2226
Fort Collins CO 80522-2226
HIGRI13 o
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 BELOW
Phone 970-482-7747 Pax 970-484-4165
INSURED
INSURERS AFFORDING COVERAGE
INAIC III
High Plains Mechanical Service
Inc
Attn: Judy Schlemer
2020 Airway Avenue
INSURER A. MOUNTAIN STATES NUTDAL
INSURER PINNACOL ASSURANCE
--
INSURER
INSURERD
Ft Collins CO 80524
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
IN
TYPE OF INSURANCE
POLICY NUMBER
DATE MWODM'
DATE MMID
LIMITS
A
X
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx ] OCCUR
CPP007999806
12/31/07
12/31/08
EACH OCCURRENCE
S 1 000,000
X
PREMISES Eaooarence
$100,000
MED EXP (Any om Penon)
f 10, Q 00
PERSONAL S ADV INJURY
$1,000,000
GENERAL AGGREGATE
$ 2, 000, 000
GENL AGGREGATE LIMIT APPLIES PER
POLICY JEUT LOC
PRODUCTS COMPIOPAGG
32,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP007999806
12/31/07
12/31/08
COMBINED Ess�ftrrSINGLE LIMIT
)
$ 1 000,000
X
BODILY INJURY
(Per Parson)
f
BODILY INJURY
(Per.=,dW)
f
(P.r E TYDAMAGE
(Per aoudn0
PROAUTOONLY
S
GARAGE LIABILITY
ANY AUTO
EAACCIOENT
S
OTHER THAN EA ACC
AUTO ONLY A
— ----
S
S
A
EXCESSIUMBRELr01CrH
X OCCUR �LAIMSMADE
DEDUCTIBLE
X RETENTION 310000
UMB007999806
12/31/07
12/31/08
OCCURRENCE
$1 OOQ QQQ
AGGREGATE
f1,000,000
f
f
WORKEf
EMPLOYERS
LIABILITYCOMPENSATION AND X TORY LIMITS ER
B ANY PRORI LIABILITY 4052379 AFFICEM EMBEREXCLUDED? CUTNE 04/01/07 04/01/08 EL EACH ACCIDENT f$QQ, QQQ
OFFICER/MEMBER EXCLUDED?
B /e•CIAtl crbm unOer EL DISEASE EA EMPLOYEE $ 500 000
OTHER PROVISIONS Dhow
OTHER EL DISEASE POLICY LIMB 1 $500 000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Fax 221-6707 Attn: Christine Certificate holder is additional insured
under the general liability Per form OND 247, Ed 04/02
CERTIFICATE HOLDER ,....__..._.__.
CITYFTC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF THE ISSUING INSURER WALL ENDEAVOR TO MAL 10 DAYS WRITTEN
City Of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL
Attn Christine
281 N College Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES
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