Loading...
HomeMy WebLinkAbout102525 ALLEN PLUMBING & HEATING INC - INSURANCE CERTIFICATE (4)UN IU: KG A�ORD CERTIFICATE OF LIABILITY INSURANCE D02120/LID/Y2i2012014 1 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 endorsements . PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 CONTACT NAME: PHONE FAX ac No Exec. (A/c No); E-MAIL ADDRESS: Johnstown, CO 80534 Dave Janssen PRODUCER ALLEN 4 CUSTOMER IDih INSURE S AFFORDING COVERAGE NAIC # INSURED Allen Plumbing & Heating Inc. � INSURER A:EMC Insurance Companies 21415 & Allen Plumbing & Mechanical Q 2-52,) INSURER 0: Pinnacoll Assurance 41190 & Allen Service 101 S. Link Lane INSURERC: Fort Collins, CO 80524 INSURERD: INSURER E : INSURER F : CrIVFRAr:FS CFRTIFICATF NI IMRFR- RFVISInN NUMRFR: 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 LT TYPE OF INSURANCE L U POLICY NUMBER C MD M D Y ID NIM/D�V LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX_1 OCCUR X Blanket Addl lns XS9971 03/01/2014 0=112015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 X Blanket Waiver GENERAL AGGREGATE $ 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,004 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BlanketAUWaiver 4X69971 03/01/2014 03/01/2016 COMBINED SINGLE LIMIT accident) $ 1,000,00 X BODILY (Per person) BODILY INJURY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ X $ q UMBRELLA LWB EXCESS LWB X OCCUR CLAIMS -MADE X69971 03/01/2014 03/01/2015 EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,00 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYEEL ANY PROPRIETOR/PARTNERIEXECUTNEY� OFFICERIM(Mandatory In HI EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 049622 BLANKET WAIVER OF SUBRO I 07/01/2013 07/01/2014 I X WC STATU- I OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOY $ 1,000,00 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,00 A Equipment -Leased X69971 03/01/2014 03/10/2015 Limit 100,00 Died 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AttMh ACORD 101, Additional Remarks Schedule, if more space is required) I.CK I Ir ILA I C NULUCK LANCLLA I IVIY CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 805236 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD