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HomeMy WebLinkAboutSTEEL-T HEATING INC - INSURANCE CERTIFICATESTEEL-1 OF ID: TLG 4��fza CERTIFICATE OF LIABILITY INSURANCE OAT09130DIYYVY) 1 9/30/11 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 endorsement(s). -- PRODUCER CRS Insurance Brokerage - . Commercial Risk Solutions DBA _ 303-757-7719 6600 E. Hampden Ave. Denver, CO 80224 _ .. ._. Scott E. Metzger, CIC, ARM_ _ CONTA303-996-7801 NAME: - - PHONE (ac No EX01ac rvo E-MAIL ADDREss: - - " - - INSURERfS) AFFORDING COVERAGE - -- NAIC p INSURERA:Owners Insurance Company 32700 INSURED Steel-T Heating, Inc. INSURER B: Pinnacol Assurance - Heating Inc. DBA: 2750 S. Shoshone St., Ste. 240 Englewood, CO 80110 INSURERC:The Travelers Companies INSURER O: Mountain States Mutual INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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. ILICY NSR LTRIN TYPE OFIN__RANCE ADADIR SUER POLICY NUMBER EFF MM/DDIYYYV POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I A OCCUR - TPP97333 ° 10/01/11 10/01/12 - t .. ENCE EACH OCC URRENTED $ 1,000,000 DAMAGET R PREMISES Ea occurrence $ 300;000 MED EXP (Anyone person) $ 10,000 PERSONAL B AD V INJURY $ 1,000,000 '- GENERAL GENERAL AGGREGATE $ 2,000;000 GEN'L AGGREGATELIMIT APPLIES PER POLICY X PRO- LOC PRODUCTS COMPIOPAGG $ 2;000,000 $ D- AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS BAP007311111 10/01/11 10/01/12::' Ee MINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPPERZDAMAGE are cc ident $ C X I UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE QK08301095 10/01/11 10/01/12 EACH OCCURRENCE $ - 3,000,000 AGGREGATE $ 3,000, 000 DED I X I RETENTION $ O 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN D PICEPoMEidBEF. EXCL'UDEDi El (Mandatory in NH) Uyes describe under OESC J..,NN OF OPERATIONS below NIA �4108577 10/01/11 10/01/12 X WC STATU- JOTH- TORV IMI R EL. EACH ACCIDENT . $__ 500,000 E.L. DISEASE - EA EMPLOYEEI $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All policy terms, conditions and exclusions apply. CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street 2nd Floor Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE Scott E. Metzger, CIC, A f 1� ©1988-2010 ACORD CORPORATI All rights. reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD