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Home My WebLink About117224 HORIZON SHEET METAL INC - INSURANCE CERTIFICATEHORSHI Clientff: 44675 ACORD CERTIFICATE OF LIABILITY INSURANCE DYYY) 3/29/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME: Kelly Beauvais PHONE g70 266-7121 FAX uC No Ell : ac, No): 970-506-6845 ADDRESS: kelly.beauvais@fpinsurance.com CUSTOMER ID k: HORSHI INSURERS) AFFORDING COVERAGE NAICk INSURED Horizon Sheet Metal, Inc 126 Hemlock INSURER A: The Hartford Insurance INSURERS: Pinnacol Assurance Fort Collins, CO 80524 INSURER C: INSURER 0: . INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTIL TYPE OF INSURANCE DD POLICY NUMBER MWDD/YYYY MM/DD/VYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR 34UUNTZ6435 4/01/2011 04101/2012 EACH OCCURRENCE $1 000 000 DAMAGE T PR EMSESOaoccur2nce s300000 MED EXP(Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY F7 LIMIT APPLIES PER: JECT PRO LOG PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UENTZ6398 4/01/2011 04/01/2012 COMBINED SINGLE LIMIT (Ea accitlent) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 34XHUNJ4892 4/01/2011 04/01/201 EACH OCCURRENCE $2000000 X AGGREGATE s2,000,000 DEDUCTIBLE RETENTION 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEF7 OFFICER/MEMBER EXCLUDED? (ManCatory In Ni If yes, describe under DESCRIPTION OF OPERATIONS below WA 4009379 4/01/2011 04/01/201 X WC STAID- DTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 EL.DISEASE - POLICY LIMIT 1 $1,000,000 A Stored Materials 34UUNTZ6435 4/01/2011 04/01/201 $100,000 Limit; $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Atltlhional Remarks Schedule, if more space is required) Certificate holder is named as additional insured. City of Fort Collins P O BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD