HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATEClient#: 24889
KAHPL
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DdYYYY)
6/09/2011
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(les) 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
NAME:
PHONE g70 356-0123 9705066836
A/C No Ell; A/C, No
Greeley, CO 80632
970 356-0123
ADDRESS:
CUSTOMER ID If:
INSURER(S) AFFORDING COVERAGE
NAIC A
INSURED
Kahar Plumbing & Heating, Inc.
6772 & 6766 North Franklin Avenue
INSURER A: United Fire & Cas.
INSURER BPinnacol Assurance
Loveland, CO 80538
INSURER C:
INSURER D:
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
POLICY NUMBER
MM/DD/YYYY
MWDO/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE N OCCUR
60074717
11/15/2010
11/15/2011
EACH OCCURRENCE
$1 OOO OOO
DAMAGE
PREMISES Ea occurrence
$100 000
MED EXP (Any one Aerson)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEHL AGGREGATE LIMIT APPLIES PER:
POUCV X PRO LOG
PRODUCTS - COMP/OP AGG
$2,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUr05
60074717
11/15/2010
11/15/2011
Co eBI tlED SINGLE UMIT ent)$1,000,000
X
BODILY INJURY (Per Person)
$
BODILY INJURY (Par accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
A
X
UMBRELLA LAB
EXCESS LIAB
GCCUR
CLAIMS -MADE
60074717
11/15/2010
11/15/2011
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 OOO 000
OEDI/CTIBLE
RE=L 10,000
$
X
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEEXECU RIVE -7 R/
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
1542230
7/01/2011
07/01/201
X WG STATU OTH
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
s500,000
E- DISEASE - POLICY LIMIT
s5000OO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more spece Is required)
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 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD