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HomeMy WebLinkAbout117224 HORIZON MECHANICAL SOLUTIONS - INSURANCE CERTIFICATEClient#: 44675 rf4111:1a:11 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/15/2013 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 CONTACT NAME: Kelly Beauvais Flood & Peterson Ins., Inc. PHONE 970-266-7121 FAI( 970-506-6836 A/C No Est):INC),, No P. O. Box 578 AIL ADDRESS: kbeauvais@floodpeterson.com Greeley, CO 80632 PRODUCER 970 356-0123 '� y CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: CNA Insurance Company Horizon Mechanical Solutions INSURER B Pinnacol Assurance Horizon Sheet Metal, Inc 126 Hemlock INSURER C Fort Collins, CO 80524 INSURER 0: 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 DDL U o I POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP M/ MDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR C5084382042 4/0112013 04/01/2014 EACH OCCURRENCE $1000000 PREMISES (Ea occurrence) s2000OO MED EXP(Any one person) s15,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGO RELATE 17 POLICY LIMIT APPLIES PER: PRO LOC PRODUCTS-COMP/OP AGG $2,000,000 X $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS C5084382056 4/01/2013 04101/2014 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) S 1XX S A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE C5084382073 4/01/2013 04/01/201 EACH OCCURRENCE $9 000 000 X X AGGREGATE $9 00D 000 DEDUCTIBLE RETENTION S 10000 $ X $ B WORKERS COMPENSATION IN AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVEY❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4009379 4/07/2013 04/01/201 X WC STA Tu orH E.L. EACH ACCIDENT $11000000 E. L. DISEASE - EA EMPLOYEE $1,000,000 F.L. DISEASE - POLICY LIMIT $1 000,000 A Installation Floater C5084382042 4/01/2013 r 04/01/2014 $100,000 Ded $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named as additional insured. 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. rnncm:)rrar>t:idssxsaaa_�mr� ACORD 25 (2009/09) 1 of 1 #S770405/M770395 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB