Loading...
HomeMy WebLinkAbout102525 ALLEN PLUMBING & HEATING INC - INSURANCE CERTIFICATE (2)UP IU: Kt: CERTIFICATE OF LIABILITY INSURANCE onr06106/12 YI 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 PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Dave Janssen �bySvs INSURED Allen Plumbing & Heating Inc. & Allen Plumbing & Mechanical 101 S. Link Lane Fort Collins, CO 80524 COVERAGES CERTIFICATE NLIMRER- IINSURERA:EMCInsurance Companies INSURER Pinnacol Assurance 524210 INSURER D : REVISION NIIMRFR- 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. INSLTR TYPE OFINSURANCE INBR ADDLI SUBRI POLICY NUMBER MMIDDPOLICYYYYY MWDD/YYYY LIMITS A GENERAL LIABILITY tXCOMMERCIAL GENERAL LIABILITY � OCCUR Addllns 4X69971 03/01/12 03/01/13DAMAGETO EACH OCCURRENCE RENTEDPREMISES(Ea occurrence) MED EXP (" one person) Is 1,000,00 $ 300,00CLAIMS-01ADE $ 10,00nket PERSONAL B ADV INJURY $ 1,000,00 X I Blanket Waiver GENERAL AGGREGATE $ 2,000,00 NI AGGREGATE LIMIT APPLIES PER. POLICY PRO- LOC PRODUCTS - COMP/OP AGG IS 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS Blanket AI/Waiver 4X69971 03/01/12 03/01113 COMBINED SINGLE LIMIT (Ea accitleni) I $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per amident) $ PROPERTYDAMAGE (Per accitlent) $ X X $ X $ A UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 4X69971 03I01/12 03/01/13 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 51000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIW Y/N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. desube un, DESCRIPTION OF OPERATIONS DeIow NIA 4049622 BLANKET WAIVER OF SUBRO 07/01/12 07/01/13 WC STATU- �OTH- X I TQRY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 ' EL.DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT I$ 1,000,00 A (Equipment -leased I 14XG9971 I 03/01/12 03/10/13 IL dt 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CITYOFC City of Fort Collins PO Box 580 Fort Collins, CO 805236 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 REPRESENTATIVE 4+2�'� ©1988.2009 ACORD CORPORATION. Allrightsreserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD