HomeMy WebLinkAboutBRACONIER PLUMBING & HEATING CO INC - INSURANCE CERTIFICATEnc"R" CERTIFICATE OF LIABILITY INSURANCE
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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 .
PRODUCER
CO
NAME:
HONE
- ..Eau:303-837-8500 � ac Npe303-$3L5295
Van Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
E-MAIL
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INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A
INSURED
INSURER B:CI_-_St_PPPa Fir Marine_Insu
Braconler Plumbing & Heating CO., Inc.
INSURER C:
P 0 Box 1208
Englewood CO 80150-1208
INSURER D:
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 1042257024 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP
LTR INSR WVD POLICY NUMBER MMIOD/VYYY MMIDDIYVYY LIMITS
A
GENERAL LIABILITY
GL0437879701
/1/2012
3/1/2013
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
DAMA E( RENTED
PREMISESSEaNTED occurrence)8100,000
MED EXP(Any one person)
$10.000
PERSONAL 8 ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMPIOP AGG
$2,000,000
POLICY X PRO- LOC
Deductible
$$5,000
A
AUTOMOBILE
LIABILITY
/1/2012
/l/2013
Eaaccident
$1000000
X
BODILY INJURY (Per person)
$
ANY AUTO
AOSCHEDULED
AUUTOSS AUTOS
flBAAP437879801�
IDAMAGE
BODILY INJURY (Per accident)
$
XHIRED
S ED
AUTOS X AUTO
Pce.ockhr
$
8
B
X
UMBRELLA LIAR
X
OCCUR
ZUP1352279512NF
/112012
3/1/2013
EACH OCCURRENCE
$9,000,000
AGGREGATE
$9,000,000
E%LESS LIAB
CLAIMS -MADE
DIED X I RETENTION$ 10,000
$
A
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
WC437880801
/l/2012
/1/2013
X WC STATU- OTH-
T RY LINITS ER
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETORIPARTNERIEXECUTIVE❑
OFFICERIMEMBER EXCLUDED]
NIA
E.L. DISEASE -EA EMPLOYE
$1,000,000
(Mandatoryin NH)
If yes, describe under
EL.DISEASE - POLICY LIMIT 1
$1,000.000
DESCRIPTION OF OPERATIONS beIDW
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tot, Additional Remarks Schedule, If more space is required)
City of Ft Collins
PO Box 580
Ft Collins CO 80526
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
�RREPR�ES E NTAT W E
1988-2010 ACORD CORPORATION_ All riohtc resarvad
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD