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