HomeMy WebLinkAboutRK MECHANICAL INC AND PERFORMANCE BUILDING SERVICE - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM,01 YY)
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: JHIS 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 termsland 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). - - a - -
PRODUCER ,�;
CONTACT
NAME: -
Suresoape Insurance Services,LLC
PHONE (3031225-8030 -.-. 'FAX
,;13031235-6034
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7800-So. ElatiStSuite 100
E-MAIL -
_.,.;
INSURERS AFFORDING COVERAGE -.- - -
NAIC k -
INSURER A:Phoenix Insurance Company5623
'
Littleton CO 80120
INSURED
INSURER B:Travelers Prop Cab Co. of Am. -
5674
INSURER C:
RR Mechanical, Inc. and Performance
I INSURER D:
Building Services
INSURER E:
9300 East Smith Road
INSURER F:
Denver CO 80207
COVERAGES CERTIFICATE NUMBER CL1162000771 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.
INSR
LTR
TYPE OF INSURANCE
ADDLSU..
POLICY NUMBER
POLICY EFF
MM DD YYY
POLICY EXP
MM D NYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO PREMISES En oce r n
$ 300,000
A
CLAIMS -MADE FT OCCUR
-CO-4887NOBA-PRX-11
6/30/2011
6/30/2012
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
S 1,000,000
X XCU
X
CONTRACTUAL LIABILITY
GENERAL AGGREGATE
S 2, 000!'000
GENT 4GGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
S �2,000,000
'—'
17'PO X PRO- - 7
S XXXXXXXXX
AUTOMOBILE LIABILITY
-.
COMBINED SINGLE LIMIT
Ea accident
"' 1' 000 000
BODILY INJURY (Per person)
$ 'XYYYYYYYY
X ANY,AUTO'
B
BODILY INJURY (Per acdtlentl
S
ALItOWNED SCHEDULED
-810-4887NO8A-TIL-11
/30/2011
6/30/2012
AUTOS -" AUTOS
:XXXXXXXXX
.PROPER nDAMAGE racciiS,
��
X X NOOTOSWNED
HIRED AUTOS
Medical payments
$ XYYYYYYYY
X
UMBRELLA LIAB
X
OCCUR
EXCESS OF GENERAL LIAR
EACH OCCURRENCE
S 10, 000, 000
AGGREGATE
S 10, 000, 000
B'
EXCESS LIAB
CLAIMS -MADE
AUTO LIAB,EMPLOYERS LIAB.
DEC' I X 'RETENTIONS 30, see
- ..
S .�
I
PTSM-CUP-4887NOBA-TIL-11
/30/2011
6/30/2012
WORKERS COMPENSATION
WC STATU- OTH.
AND EMPLOYERS' LIABILITY YIN'
..
-
ANY PROPRIETORIPARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ "%XYYYYYYY
OFFICERIMEMBER EXCLUDED? 71
N/A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE
$ XYYYYYYYY
If descried under
as,
DESCRIPTION nF OPERATIONS below _.
F.1.01SEASE-POI.ICVLIMIT
S X3rXxXX__xXx
B
INSTALLATION FLOATER/
T-660-5895N316-TIL-11
/30/2011
6/30/2012
TOTAL LIMIT $ 3,000,000
STORED MATERIALS COV.
IN TRANSIT/STORAGE LIMIT $ 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required)
City of Fort Collins is an additional insured on General Liability if reQuired by written contract.
i
!P
i�
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
ACORD 25 (2010/051
Van Houten/KATHY
fF'I:I&111DL'16UcUIHaOaSQ:7il YU7. I•ilIffzn S:■
INS025 (201005).01 The ACORD name and logo are registered marks of ACORD