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Home My WebLink About131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATE (4)PATPL Client#: 29628 ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DNYYYY) F U9/28/2011 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(ies) must be endorsed. It 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 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais Pac"Na Er: 970 266-7121 FAX Arc, No: 970 506-6846 AooREss: KeIIy.Beauvais@floodandpeterson.com PRODUCER CUSTOMER ID a: INSURER(S) AFFORDING COVERAGE NAIC e INSURED Patrick Plumbing & Heating, LLC 3600 Horsetooth Court - INSURER A: United Fire & Cast. INSURER BPinnacol Assurance -Fort Collins; CO'80526" --' -'-" --'--" _'-"" 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. N611L TYPE OF INSURANCE POLICY NUMBER MWDD/YYY MWD"YP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CI -AIMS MADE 51OCCUR X PD Ded:1,000 60073860 10/01/2011 10/01/2012 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES Ea occ rrence $100 DDD MED EXP (Any one person) $5,000 PERSONAL&ADV INJURY $1,000000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRO LOC 17 POLICY 7X JECT PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 00073860 10/01/2011 10/01/2012 COMBINED ,SINGLE EMIT $1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident $ X X $ $ A X UMBRELLA LAB EXCESS LIAB OCCUR CLAIMSMADE 60073860 0/01/2011 10/01/201 EACH OCCURRENCE $1 000 000 AGGREGATE $1000000 DEDUCTIBLE RETENTION 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYIN ANY PROPRIETORLPARTNER/EXECU7IVEY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DE SCRIPTION OF OPERATIONS below WA 4073697 10/01/2011 10/01/201 X MS'TAT LINO OTH- jS ELEACH ACCIDENT $500000 E.L. DISEASE- EA EMPLOYEE s500,000 EL DISEASE -PODGY DMIT $SDU ODU DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remerlo Schedule, B more space is required) Certificate holder is named as additional insured, but only as respects liability arising out of ongoing operations of the named insured (Excluding Workers' Compensation). City of Fort Collins PO Box 580 Ft 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 nC.L� 01988.2009 ACORD CORPORATION. All rights reserved. Arnon 9R ,nnomoi . _a . Tk- Arnon ..-- n-A Inns — —i..—A -A,,. Arnon Client#: 29628 PATPI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMMMYYY) 09/28/2011 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(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 endorsement(s). PRODUCER Flood & Peterson ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE 970 266-7121 970 506-6846 A/C No Eat : A/C, No : ADOREss: KeIIy.Beauvais@floodandpeterson.com FHUUUUEH CUSTOMER IDX: INSURERS) AFFORDING COVERAGE NAIC a INSURED Patrick Plumbing & Heating, LLC 3600 Horsetooth Court INSURER A: United Fire & Cas. INSURER BPinnacol Assurance Fort Collins, CO 80526 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. 1NSR TYPE OF INSURANCE 0 L U POLICY NUMBER MWOD/VFF MM%OD/YXPLTfL LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E� OCCUR X PD Ded:1,000 60073860 10/01/2011 10/01/2012 EACH OCCURRENCE $1000000 UAMAUL PREMISES Eaoccurrence $100000 MED EXP (Any one person) $5,000 PERSONAL&ADVINJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PIFr.TRO LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AIJTOS HIRED AUTOS AUTOS 60073860 10/01/2011 10/01/201 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accident)NON-OWNED $ S S A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 60073860 .- 10/01/2011 - 10/01/201 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000000 DEDUCTIBLE RETENTION 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORTARTNERIEXECUTIVEY OFFICER/MEMBER EXCLUDED? EJ (Mandatory In NH) If yes. describe under DE SCRIPTION OF OPERATIONS below N/A 4073697 10/01/2011 10/01/2012 )( We sTATU M,j OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE EA EMPLOYEE s500,000 E. L. DISEASE -POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Arson ACORD 101, Additional Remarks Schedule, if mare apace Is required) Re: Contractors License City of Fort Collins P.O. Box 580 Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2009 ACORD CORPORATION. All rights reserved.