HomeMy WebLinkAboutKAHAR PLUMBING AND HEATING - INSURANCE CERTIFICATECliwnH! 2ARR0
V A uel
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DIYYYY)
06/otio8
PRODUCER
Flood & Peterson Insurance Inc
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
P O Box 270370
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
FOR Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Kahar Plumbing & Heating Inc
6772 & 6766 North Franklin Avenue
Loveland CO 80538
INSURER A United Fire & Cas
INSURERS Plnnacol Assurance
INSURER
NSURER D
NSURER E
COVERAGES
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
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFE TIVE
DATE
POLICY EXPIRATION
DATE NRID/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE QOCCUR
60074717
11/15/07
11/15/08
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
$700 000
MED EXP(Any one person)
$$QQQ
PERSONAL & ADV INJURY
$1 00Q 000
GENERAL AGGREGATE
s2 QQQ QQQ
GEN L AGGREGATE LIMIT APPLIES PER
POLICYEI PRO LOC
PRODUCTS COMP/OP AGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
60074717
11/15/07
11/15/08
COMBINED SINGLE LIMIT
(Ea accident)
$1 QQQ QQQ
X
BODILY INJURY
(Per parson)
$
X
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Peraccident)
$
GARAGE LIABILITY
ANY AUTO
AUTOONLV EAACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X1 OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
60074717
11/15/07
11115108
EACH OCCURRENCE
$1000000
AGGREGATE
$1 QQQ 000
$
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICEP MEMBER EXCLUDED?
H yeeCIAL PROVISIONS deacnbe und
SPEer below
1542230
07/01/08
07/01/09
OTH
X AMUIER
E L EACH ACCIDENT
$500000
EL DISEASE EA EMPLOYE
$500 000
E L DISEASE POLICY LIMIT 1$500.000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
City of Fort Collins
P O Box 580
Fort Collins CO 80522
MANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
;E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
3E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
25 (2001108) 1 of 2 #M416949
BXD 0 ACORD CORPORATION 1Bas
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurers) authorized representative or producer and the certificate holder nor does it
affirmatively or negatively amend extend or after the coverage afforded by the policies listed thereon
XV VRw LO J JLYY Iwo) 2 of 2 OM415949