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HomeMy WebLinkAboutPASTERKAMP HEATING & AIR CONDITIONING COMPANY - INSURANCE CERTIFICATEPASTE-2 OP ID: LH acoRo~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/29/11 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 endorsements . 303-420-1637 CONTPRODUCER NAME Lisa Lisa Heinrich$ Eickhoff Carv7710 R lst Associates 303-431-9237 7710 Ralston Road � Arvada, CO 90002 PRONE 303-996-5363 aIc No: 303-431-9237 ac No Ext E-MAIL ADDRESS: Iheinrichs carverandassociates.com Josh D Drazin INSURERS AFFORDING COVERAGE NAIC N INSURER A: Colorado Casualty Company 41785 INSURED Pasterkamp Heating & Air Conditioning Company, Inc 1930 S. Cherokee St INSURER B: Plnnacol Assurance 41190 INSURER C: Denver, CO 80223 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. INSR R TYPE OF INSURANCE POLICY NUMBER MM0POL1OP/YYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CBP7506015 10/01/11 10/01/12 PREMISES Ea occurrence) $ 250,00 MED EXP (Any one person) $ 15,00 CLAIMS -MADE FxI OCCUR PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00 EBLI $ 1,000,00 POLICY X PFQTRO LOC AUTOMOBILE LIABILITY COMBINED S INGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO BA7506011 10/01/11 10/01/12 BODILY INJURY (Per accident) S ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS M AUTOS X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ A EXCESS LAB CLAIMS -MADE X CU7506015 10/01/11 10/01/12 OEO I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4048686 10/01/11 10/01112 X WCSTATU- OTH- R IMIT ER EL EACH ACCIDENT $ 1,000,00 E. L. DISEASE - EA EMPLOYEEI $ 1,000,00 If vas describe under DE SC RIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 1,000,00 A Leased/Rented CBP7506015 10/01/11 10/01/12 Limit 10,00 Equipment Ded 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarke Schedule, if more apace is required) All projects of the insured. Certificate holder is named as additional insured, per the policy terms and conditions, on a primary basis if so required by written contract. CERTIFICATE HOLDER CANCELLATION CITYOFI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD