HomeMy WebLinkAboutCCI PLUMBING - INSURANCE CERTIFICATEFARM E RS
75 YEARS SERVING AMERICA
COMMERCIAL CERTIFICATE OF INSURANCE
AGENCY James Schneider LUTCf
Issue Date 8/31/2004
7853 E Arapahoe Ct *1400
NAME Englewood CO 80112
This certificate is issued as a matter of information only and confers no
A 303-694-2121
rights upon the certificate holder This certificate does not amend
ADDRESS
extend or alter the coverage afforded by the policies shown below
ST ... _QZ_pIST 11 AGENT 327 Company COMPANIES PROVIDING COVERAGE
INSURED CCI PLUMBING INC
Letter A TRUCK INSURANCE EXCHANGE
Company
NAME 9949 W 25TH AVE
Letter B FARMERS INSURANCE EXCHANGE
Company
6
ADDRESS LAKEWOOD CO 80215
Letter C MID-CENTURY INSURANCE COMPANY
Company
Letter 0 _
COVERAGES
-
THIS IS TO CERTIFY THAT 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 TD
ALL THE TERMS EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO ' '
LTR ' TYPE OF INSURANCE '
' POLICY EFF 'POLICY EXP ' -
POLICY NUMBER ' DAT (MM/DD/YY)'DATF(MM/nn/YY)' POLICY LIMITS
i
A ' 'GENERAL LIABILITY
_
' ' 'General
'Aggregate '$ 2 000,000
Commercial General Liability '
'Products-Comp/Ops '
'X ' - Occurrence Version
'Aggregate '$ 2,000 000
Contractual - Incidental Only
'Personal 6 '
04590 - 14 - 41 10/28/2003 10/28/2004 'Advertising Injury'$ 1,000 000
Owners 6 Contractors Prot
'Each Occurence '$ 1 000 000
'Fire Damage
(Any one Fire) '$ 75,000
i
'Medical Expense
(Any nn P r 4 5,000
A ' ' AUTOMOBILE LIABILITY
'Combined'Single Limit '$ 2 000 000
All Owned Commercial Autos
'Bodily Injury
'X ' Schedule Autos
' (Per Person) $
'X ' Hired Autos
04590 - 14 - 41 10/28/2003 10/29/2004 '
'X ' Nan -Owned Autos
'Bodily Injury
Garage Liabilty
(Per Accident) '$
'Property Damage '$
arage Aggregate If
UMBRELLA LIABILITY
'Limit $
C 'X ' WORKERS COMPENSATION
STATUTORY
AND
N0408 - 82 - 32 9/04/2004 9/09/2005 'Each Accident '$ 500 000
EMPLOYERS LIABILITY
'Disease -each empl '$ 500,000
101G a -ooli lim'$ 500,000
y
DESCRIPTION OF OPERATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
NAME CITY OF FT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
6 PO BOX 580
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30
ADDRESS
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT
FT COLLINS CO 60522
FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON Pf ,COMPANY ITS AGENTS OR REPRESENTATIVE