HomeMy WebLinkAboutFRANK PHILIP FORD DBA PHIL'S PLUMBING & HEATING - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (YY)
,2,z7MM/2011
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 80230-7006
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Frank Philip Ford dba Phil's Plumbing & Phil's Plumbing and Heating
2151 Glenfair Drive
INSURERA: Pinnacol Assurance 41190
INSURER e:
INSURER
Greeley, CO 80631
INSURER D'.
INSURER E:
COVERAGES
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 DOCUMMENT 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
-01
1
POLICY EFFECTIVE
POLICYEXPIRATION
LTR
INSRD
TYPEOFINSURANOE
POLICYNUMBER
OATE(MMDDTYYYY)
OATEIMIWDDT(YYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDEXPIAn o�p Y,,R
PERSONAL& ADV INJURY
GENT AGGREGATE LIMIT APPLIERS PER:
GENERALAGGREGATE
PRODUCTS-COMP/OP AGO
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea AccNanl)
BODILY INJURY
ALL OWNED AUTOS
SCHEWLEDAUTOS
(Per person)
BODILYINJURV
HIREDAUTOS
NON�OWNEDAUTOS
(Per accienn
PROPERTY DAMAGE
(Perac eM)
GARAGE LIABILITY
AUTOONLY-FA ACCIDENT
OTHER THAN EA ACC
ANYAUTO
AUTO ONLY: ASG
EXCESWUMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
WC STATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
3104305
04/01/2011
04/01/2012
EL EACH
ELL EACH ACCIDENT
$100,000
OFFICER/MEMBER EXCLUDED?
ELOCEASE-EAEMPLOYEE
$100,000
If Ves, pinasatlescribeuntler SPECIAL PROVISIONS ebw
ELDISEASE- POLICY LIMIT
_ADO DOD
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSA E RIC LESIEXCLUSIONS ADDED BY ENDORSEME NTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1352017
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF FORT COLLINS
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
P.O. BOX 580
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
FORT COLLINS, CO 80522
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Jennifer Konecny
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988