HomeMy WebLinkAboutBRACONIER PLUMBING & HEATING CO INC - INSURANCE CERTIFICATE (2),ac �® CERTIFICATE OF LIABILITY INSURANCE DATE MM^°°"YYY'
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
USI Colorado LLC
1515 Wynkoop, Suite 200
Denver CO 80202
INSURED
Braconier Plumbing & Heating Co., Inc.
P O Box 1208
Englewood CO 80150-1208
C:
COVERAGES CERTIFICATE NUMBER: 2190848 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.
LLTTRR
TYPE OF INSURANCE
L SUB
SR WVD
POLICYNUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXPO
MMIOO/YYYY
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �-] OCCUR
I
GL0437879703
/112014
/1/2015
EACH OCCURRENCE
$1,DOO,DDO
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,000
MED EXP (Any one person)
$10,000
PERSONAL 3 ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- LOC
PRODUCTS - COMP/OP AGG
$2,000,000
Deductible
$$5,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON OWNED
HIRED AUTOS X AUTOS
BAP437879803
1/2014
11/2015
Es accident$1,000,000
X
BODILY INJURY (Par person)
$
BODILY INJURY (Per a clffirt)
$
X
PROPERTY DAMAGE
Per accident
$
$
B
X
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
ZUP13S2279514NF
/112014
11/2015
EACH OCCURRENCE
$9,000.000
N
AGGREGATE
$9,000,000
DED X I RETENTION $10.000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY
OFFICEOPRIIMBEREXC NERIE ECU I IVE❑
(Mandatory In NH)
tt yes oescnoe under
DESCRIPTION OF OPERATIONS below
NIA
437880803
/1/2014
/l/2015
X W'CSTATU- OTH-
LIMITSA EE-
E.L. EACH ACCIDENT
$1,000,ODO
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
1 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
Etl a:I I I ilal_\ I a:la0gn13:
City of Ft Collins
PO Box 580
Ft Collins CO 80526
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
CO 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD