HomeMy WebLinkAboutCMS MECHANICAL SERVICES - INSURANCE CERTIFICATEACORP. CERTIFICATE OF LIABILITY INSURANCE OPSME I-1 DATE (MMIDD
CM1 04/14/08 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Mountain States Mutual 14648
INSURER B: Pinnacol Assurance
CMS Mechanical Services, Inc., wsuRERc
Ms. Kristen Luca _.
609 Technology Circle, Suite A INSURERD
Windsor CO 80550 -- --
INSURER E:
COVFRA/;FR
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 CONTRACTOR OTHER DOCUMENT
WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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.
INSR'ADD'y - __- -i-- -
LTR INSRD TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE .POLIDY E%PIRATIONI -_- _--_-- -_-
DATE MMIDD/YY DATE MMIDDIVY LIMITS
GENERAL LIABILITY
!CPPOI0552804
EACH OCCURRENCE
$ 1,000,000
A
COMMERCIAL GENERAL LIABILITY
04/27/08
DAMAGE TO RENTE
04/27/091 PREMISES (Ea oceurence)
I$100,000
CLAIMS MADE I X.] OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
i$1,000,000
GENERAL AGGREGATE
$2,000,000
GE TL AGGREGATE LIMIT APPLIES PER:
_
(PRODUCTS COMIVOP AGG
$2,000.,000
POLICY JET I LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1 000,000
A (
%
ANY Al!TO 1 BAP010552804
04/27/08
04/27/09 �Esnrodent)
I r
(
ALL OWNED AUTOS (
(BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIREDAUTOS {
BODILY INJURY
$
NON -OWNED AUTOS
(Per ecciden)
PROPERTY DAMAGE
$
1
(Per accident)
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
I $
AUTO ONE'(. AGG
I $
EXCIESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ I , 0OO , 000
A
IX_J OCCUR CLAIMS MADE UMB010552804
04/27/08
04/27/09 AGGREGATE
$1,000,000
$
$
�X�DEDUCTIBLE
RETENTION $10,000
$
WORKEOMABiSTY ION AND
TS] ER
EMPLOYERS'
B 4105092
06/O1/07
06/Ol/08 E.L.EACH ACCIDENT
$500,000
I$500,000
ANY PROPRIETORIPARTNER/E%ECUTIVE
OFFICERIMEMBEREXCLNERJE
—
E.L. DIOSEASE-IEA EMPLOYEE(
:-((yes, describe under
SPECIAL PROVISIONS below,
E.L.ISEASE-POLICV LIMIT$500
000
:OTHER
I
III
III
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
1R6VJ41RP
City of Fort Collins
Purchasing
281 N College Avenue
Fort Collins CO 80522
CITYFT5 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001108) V AUUKU GUKHUKAI IUN TVUtS