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Home My WebLink About262112 ADVANCED PLUMBING SERVICE LLC - INSURANCE CERTIFICATEACORD,a CERTIFICATE OF LIABILITY INSURANCE DATE 9/20/2011 PRODUCER LARRY CAIN (14211) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3944 JFK PKWY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR UNIT 12D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FORT COLLINS, CO 80525-0000 970-204-0825 FAX: 970-221-1372 INSURERS AFFORDING COVERAGE NAIC# INSURED 11764846 1' ti INSURERA, COUNTRY Mutual Insurance Company 20990 INSURER B: ADVANCED PLUMBING S RVICE LLC / °/a LADD JIM 6100 MOSSYCUP CT LOVELAND, CO 80538 INsu REZ nnvoaencc 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. INSR DD' TYPEOFINSURANCE POLICY NUMBER POLICYDATE f EFFECTIVE POLICY EXPIRATION DATE (MM?Dn(YYYYI LIMITS A GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY AM6769307 11/1/2010 11/1/2011 EACH OCCURRENCE $1,000,000 -IJAMA'N PREMISES Ea occurence $50,000 ❑ CLAIMS MADE a OCCUR MED E%P(Any one person) $5,000 PERSONAL 8 ADV INJ U RY $1,000,000 ❑✓ BUSINESSOWNERS ❑ GEN ERAL AGGREGATE $2,000,000 GENL AGGREGATE LI M I T APPL IES PE R: PRODUCTS - COMPIOP AGO $2.000,000 ❑ POLICY ❑ PRO - A A AUTOMOBILE ❑ LIABILITY ANYAUTO AM6769307 11/1/2010 11/1/2011 COMBINED SINGLE LIMIT (Ea accident) ❑ ALLOWNEDAUTOS BODILY INJURY SCHEDULED AUTOS (Per person) ❑✓ HI RED AUTOS BODI LY INJ U RY ❑✓ NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE Covered on Businessowners (Peraccident) AUTO ONLY - EAACCIEDAENT El❑RAGE ANY AUTOITY OTHERTHAN ACC AUTO ONLY: AGG E%GESSIUMBRELLA LIABILITY EACH OCCURRENCE 0 ❑ OCCUR ICLAIMS MADE AGGREGATE El ❑ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND ❑ WCSTATU- ❑ OTH- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTI VE E.L. EACH ACCIDENT E.L. DISEASE -EA EM PLOYEE OFFICERIMEMBER EXCLUDED? ❑ NO If yes. describe under SPECIAL PROVISIONS below ❑ Yes E.L. DISEASE -POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS POLICY INFORMATION: HIRED AUTOS LIMIT AND NON -OWNED AUTOS LIMIT ARE INCLUDED IN THE EACH OCCURRENCE LIMIT AND GENERAL AGGREGATE LIMIT OF THE GENERAL LIABILITY CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 AUTHORIZED REPRESENTATIVE 2 ACORD 25 (2001108) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGUKU 25 (2UMMU)