HomeMy WebLinkAboutHIGH PLAINS MECHANICAL - INSURANCE CERTIFICATEApr-01-08 08,32am From-Brawn&Brawn
9704844165 T-782 PA01/001 F-257
ACORo CERTIFICATE OF LIABILITY INSURANCE OP IQ B2 °ATE
HI GH 13 03 31/31//08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
12S S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O BOX 2226
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Port Collins CO 80522-2226
�NAIC#
Phone:9'10-482-7747 Fax:970-484-4165
IINSURERS AFFORDING COVERAGE
INsIJRED
INSURERA: MOUNTAIN STATES MUTUAL
_
14648
High Plains Mechanical Service
INSURERS: PnMACOL ASSURANCE
--
Inc.
Attn: Judy SChlemer
INSURER .. _
2020 Airway Avenue
INSURER D:
Vt. Collins CO 80524
---------- -
INSURER E:
OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RED UCEO BY PAID CLAIMS.
PULIUYLTR NM TYPE OFINSDRANNUD CE I POLICY NUMBER DATE MMIDD/YY DATE MMIIDO r LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S1,000,000
A
X
X COMMEROIALGENERALLIABILRY
CYP007999807
04/01/08
04/01/09
-P-PREMISES (Eeaccurence)
$100,000
CLAIMSMADE FXIOCCUR
MED EXP(Any ane Pamom
$10,000
PERSONAL 3 AOV INJURY 1$1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER;
PRODUCTS-COMP/OPAGG $2,000,000
POLICY El VT 71 LOD
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT 51,000,000
A
X
ANY AvrD
SAP007999807
04/01/08
04/01/09
(ea awaent)
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREOAUTOS
BODILY INJURY
$
NONUWNED AUTOS
(Pe,acddcm)
PROPERTY DAMAGE
$
(Peramidem)
GARAGE LIABILITY
ALIT . ONLY -EAACCIOEPfT $
..O NLY... _..—_..
...
ANYAUTO
OTHER THAN EA ACC ,$
AUTO ONLY: AGO $
EXOESSAIMBRELLA LIABILITY
( EACH OCCURRENCE
51 000 OOQ
A
X OCCUR n CLAIMSMADE
TmB007999807
04/01/08
04/01/09
AGGREGATE
S i 000 000
G
DEDUCTIBLE
X I RETENTION 510000
S
WOMERS COMPENSATION AND
X TORY LIMITS ER
B
EMPLOYERS' LIABILITY
4052379
04/01/08
04/01/09
E.L.EACH ACCIDENT $500,000
ANY PROPRIETORMARTNER/EXECUTIVE
OFFICERIMEMOER EXCLUDED?
E.L. DISEASE -FA EMPLOYEE S 500,000
If ye6 dmObo woe,
SPEG�IALPROVISION"dc
I
E.L. DISEASE -POLICY LIMIT I S 500 O00
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENOORSEMENT I SPECIAL PROVISIONS
Fax: 221-6707 Attn. Christine Certificate holder is additional insured
under the general liability per form MM 247, Ed. 04/08.
City of Fort Collins
Attn: Christine
281 N C011ege Avenue
Fort Collins CO 80522
CITYFTC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATETHEREOF, THE ISSUING INSURER WILY ENDEAVOR TO MAIL 10 DAYSMITEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR L(ABILTN` OF ANY MNO UPON THE INSURER, US AGENTS OR