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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