HomeMy WebLinkAbout131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATE (2)ACORD,., CERTIFICATE OF LIABILITY
INSURANCE
(MMID
1DATE
0/071080YYYY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Patrick Plumbing & Heating, L.L.C.
3600 Horsetooth Court
INSURER A: United Fire & Cas.
INSURER : Pinnacol Assurance
Fort Collins, CO 80526
INSURER C:
INSURER D:
INSURER 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.
INSR
LTR
ADD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDDIVY
LIMITS
A
GENERAL LIABILITY
60073860
10/01/08
10/01/09
EACH OCCURRENCE
$1 1000M0
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
DAMAGE TO RENTEPREMISES (En .D
$1 OO OOO
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 000000
X PC Ded:1,000
GENERALAGGREGATE
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY-X] PRO-JECT LOG
A
AUTOMOBILE
LIABILITY
ANY AUTO
60073860
10/01/08
10/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Peraccident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGO
A
EXCESSIUMBRELLA LIABILITY
60073860
10/01/08
10/01/09
EACH OCCURRENCE
$1000000
X OCCUR CLAIMS MADE
$1 00O 000
$
DEDUCTIBLE
$
X RETENTION $ 10000
B
WORKERS COMPENSATION AND
4073697
10/01/08
10/01/09
OTH-
4DISEASE-
EMPLOYERS'LIABLLJTYENT
PROPRIETORIPARTNER/EXECUTIVEOFFICERIMEMBER
$500,000ANY
EMPLOYEE
$5003000SIf
EXCLUDED?
PECIALscribe under
PROVISIONS below
..LICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as additional insured, but only as respects
liability arising out of ongoing operations of the named insured
(Excluding Workers' Compensation).
City of Fort Collins
PO Box 580
Ft Collins , CO 80522
I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
1EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _'40_ DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Acorcu xO (zeu11oe)1 #M427395 MJP 0 ACORD CORPORATION 1988