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Home My WebLink About102525 ALLEN PLUMBING & HEATING INC - INSURANCE CERTIFICATEVP IU: KL: 'acoRo CERTIFICATE OF LIABILITY INSURANCE DAT06108/IYYYY) 06108/11 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 endorsements . PRODUCER 970-635-9400 CONTACT PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 970-635-9401 Johnstown, CO 80534 Dave Janssen PHONE xt FAX Nc No Ell, INC, No): EMAIL ADDRESS: PRODUCER ALLEN4 ID_p: _CUSTOMER INSURER(S) AFFORDING COVERAGE NNCd INSURED Allen Plumbing & Heating Inc. INSURER A:Auto-Owners Insurance Co. 118988 & Allen Plumbing & Mechanical 101 S. Link Lane Fort Collins, CO 80524 INSURERS; Pinnacol Assurance 41190 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. INSa ADOL7$UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDIVVYY MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS�r1ADE J OCCUR X Blanket Addl Ins 74323663 03/01/11 03101112 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP(Any one person) $ 1,000,00 $ 300,00 $ 10,00 PERSONAL& ADV INJURY $ 1,000,00 X Blanket Waiver GENERAL AGGREGATE $ 2,000,000 PL�IES PER: GENE AGGREGATE LIMITAP�I POLICY A PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 483155/0 03/01111 03101112 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X I X $ Is A UMBRELLA LIAB EXCESS LIAB Xd OCCUR CLAIMS -MADE 48323663 03I01111 03I01/12 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DEDUCTIBLE RETENTION $ O $ X Is B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOF UABIER/EXECUTIVE YIN OFFICERIMEMBER EARTNE D9 (Mandatory In NH) (es, describe m. DESCRIPTION OF OPERATIONS below NIA 4049622 BLANKET WAIVER OF$UBRO 07/01/11 07/01/12 WC STATU- OTH- X TO RYLIMITs ER 1,000,00 E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL DISEASE -POLICY LIMIT 1$ 1,000,00 A (Equipment -Leased 7432366310 03101111 03/10112 11-iimd'it 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITYOFC City of Fort Collins PO Box 580 Fort Collins, CO 805236 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 U 1983-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD