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HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (2)Client#: 24889 KAHPI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (mmmDIYYYY) F 6/13/2012 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 pollcy(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 CONTACT NAME: Cindy Zimmerman Flood & Peterson PHONE 970-266-7155 970.506.6845 RATE Est): AIC, No P. O. Box 578 A L Greeley, CO 80632 ADDRESS: 970356.0123 CUSTOMER ID M INSURER(S) AFFORDING COVERAGE NAIC4 INSURED INSURER A: United Fire & Cas. Kahar Plumbing & Heating, Inc. INSURER BPinnacol Assurance 6772 & 6766 North Franklin Avenue Loveland, CO 80538 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. INSR LIEL TYPE OF INSURANCE N DL U D POLICY NM UBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XIOCCUR 60074717 11/15/2011 1111512012 EACHOCCURRENCE $11000 000 DAMA T f T PREMISES Ea xwrtenw S100DDD MED EXP(Anyone person) s5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOG PRODUCTS - COMPIOP AGO $2,000,000 I $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 60074717 11/15/2011 11/15/201 (O ao OeC, INGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A X umBRELLA UAB X EXCESS LIAR OLLUR CLAIMS -MADE 60074717 11/15/2011 11/1512012 EACH OCCURRENCE 5110001000 AGGREGATE $1 OOO,OOO DEDUCIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFILERIMEMBER EXCLUDED? (Mandatory in NH) If as, descnbe under DESCRIPTION OF OPERATIONS below NIA 1542230 7/01/2012 07/01/2013 X WC IMI-S I orH- E.L. EACH ACCIDENT $500,000 EUDISEASE-EAEMPLOYEE $SDD,DD0 EL. DISEASE -POLICY LIMIT ESDD,DDD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remade Schedule, if more space Is required) City of Fort Collins P.O. Box 580 Fort 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. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S701867/M701062 CAZ