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Home My WebLink About131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATE (3)PATPL Clientff: 29628 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/YYYY) F 9/24/2012 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 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 endorsement(s). PRODUCER Flood & Peterson Insurance, Inc. Corporate Mailing Address: P.O. Box 578 Greeley, CO 80632 �\ U CONTACT NAME: Brlanne Danielson PHONE g70 266-7118 970 506-6846 A/C No Ert: A/C, No: ADDRESS: brianne.danielson@floodandpeterson.com R PATPL cusTOMER ID «: INSURERS) AFFORDING COVERAGE NAIC X INSURED Patrick Plumbing & Healing, LLC 3600 Horsetooth Court INSURER A: United Fire & Casualty Company 13521 INSURER B: Pinnacol Assurance 41190 Fort Collins, CO 80526 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 TYPE OF INSURANCE DL U D POLICY NUMBER MWODNYYY enWDDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XI OCCUR X PD Ded:1,000 60073860 10/01/2012 10/01/2013 EACH OCCURRENCE $1 OOO 000 DAMAGE TO RENTED PREMISES Ea occurrence) $100000 MED EXP (Any one person) s5 000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO X LOG PRODUCTS - COMP/OP AGG $2000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 60073860 10/01/2012 10/01/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY(Pereecidem) $ X X PROPERTY DAMAGE (Per accident) $ X S $ A X UMBRELLA LIAS EXCESS LIAB X OCCUR CLAIMS -MADE 60073860 10/01/2012 10/01/2013 EACH OCCURRENCE $1 000 000 AGGREGATE $1000000 DEDUCTIBLE RETENTION S 10,000 $ X S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRtETORIPARTNERIEXECUTIVEyQ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, desends under DESCRIPTION OF OPERATIONS below WA 4073697 10/01/2012 10/01/201 X T`oCg`sTLA1VITq oTH- E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT s500 OOO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Re: Contractors License City of Fort Collins P.O. Box 580 Fort Collins, CO 80521 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 ACORD 25 (2009109) 1 Oft #S735630/M735543 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BXD