HomeMy WebLinkAboutPASTERKAMP HEATING & AIR - INSURANCE CERTIFICATEPASTE-2 OP ID: LL
4III CERTIFICATE OF LIABILITY INSURANCE
D09/27/201AM VY)
09/27/2013
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(les) 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 Phone: 303-420.1637
Carver and Associates Fax: 303431-9237
7710 Ralston Road
Arvada, Co
in
Josh D Drazin
CNAME:ONTACT Lisa Heinrichs Eickhoff
PHONE 3 FAX
.Lac. No Eat: 03-996.5363 ac No): 303-431-9237
AD� $BI leickhoff@carverandassociates.com
INSURE S AFFORDING COVERAGE
NAIC0
INSURER A:EMC Property & Casualty Ins Co
25186
INSURED Pasterkamp Heating & Air
Conditioning Company, Inc
1930 S. Cherokee St
INSURER a: Pinnacol Assurance
41190
INSURER
INSURER D:
Denver, CO 80223
INSURER E :
INSURER F :
COVERAGES CFRTIFICATFNIIMRFR- RFVISIOMMOMBER:
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.
ILTR
TYPEOFINSURANCE
POLICY NUMBER
MMIDDIYYYY)
IMWDDWYYYI
LWn8
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
CWMS-MADE OCCUR
X
4XS1928
10/01/2013
10/01/2014
PREMISES Ea occurrence
$ 260,09
MED EXP(Any one person)
$ 15,00
PERSONAL$ ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO LOC
PRODUCTS-COMP/OP AGG
$ 2,000,00
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ee eccidars
1,000,0
X
6oDLV INJURY(per person)
$
A
ANY AUTO
X8t928
10i01/2813
�10/01/2014
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON.OWNE
AUTOS
BODILY INJURY Per accktant
( )
E
X
PROPERTY AMq
Per axitlern
$
E
X
UMBRELLA DAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,00
AGGREGATE
$
A
EXCESS LIAR
CLAIMS -MADE
X
XB1928
10/01/2013
10/01/2014
DED RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTNE YIN
OFFICERIMEMSER EXCLUDED? �
NIA
048686
10/01/2013
10/01/2014
X WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYEE
$ 1,000,00
(Mandatory in NH)
Ues, describe under
SCRIPTIONOFOPERATIONS be.
-
E.L. DISEASE -POLICY LIMIT
$ 1,000,00
A
Leased/Rented
4X81928
10101/2013
10101/2014
Limit 10,00
Equipment
Ded 1,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
All projects of the insured. Certificate holder is named as additional
insured, per the policy terms and conditions, on a primary basis if so
required by written contract.
CITYOFI
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.
AUTHORIZED REPRESENTATIVE
U 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD