HomeMy WebLinkAbout330514 KUCK MECHANICAL CONTRACTORS LLC - INSURANCE CERTIFICATE (2)�Rtr CERTIFICATE OF LIABILITY INSURANCE OPID ! VV
KUCKM-1 07 21 11
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rich S Cartmill Ins of CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
of Colorado LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8213 W. 20th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone: 970-356-8030 Fax: 970-356-8032 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Pinnacol Assurance
Kuck Mechanical
Contractors, LLC INSURER C:
PO BOX. 388 INSURER D:
Loveland CO 80539
NSURER E:
!nVICDAnPC
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.
IN
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
PO Y ELfE FFELTIV
DATE MMIDD91
PO1TC EXPIRATION
DATE MMIDDNYYY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
E
PREMISES (Ea occurence)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PECROT LOC
PRODUCTS - COMPIOP AGG
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EAACC
AUTO ONLY: AGG
$
$
EXCESS I UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$ '--
AGGREGATE
$
S
$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORJPARTNERIEXECUTIVB❑
OFFICEWMEMBER EXCLUDED?
(Mandatory in NH)
H describe under
SPECIAL PROVISIONS below
4022260
08/01/11
08/01/12
X TORYLIMITS ER
E.L.EACHACCIDENT
$1000000
E.L. DISEASE -EA EMPLOYEE
$ 1000000
E.L. DISEASE -POLICY LIMIT
$1000000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP
CITFOR DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Fort Collins REPRESENTATIVES.
PO SOX S8O AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 Michael J Schmitt CIC
ACORD 25 (2009/01) V TBtiB-ZUUB AUUNU wNrUr I IUN. An rlgnTs rese"ea.
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