HomeMy WebLinkAbout131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATE (5)Client*- 2962E
PATPI
ACORD... CERTIFICATE OF LIABILITY INSURANCE
D9/27/20ATE(MWDD13YYY
9I2712013
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. H SUBROGATION IS WANED, 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
Flood and Peterson
P. O. Box 578
CONTCT
NAME• Amanda Thompson
1,21;q Els, , 970 266.7138 AK No: 970 506 6846
ADDRESS; AThompson@FfoodPeterson.com
INSURERIS) AFFORDING COVERAGE
MAIO0
Greeley, CO 80632
INSURER A: United Fire & Cas.
13021
INSURED ^
Patrick Plumbing & Heating, LLC '31 r7 Y
3600 Horsetooth Court J 1
INSURERB: Plnnecol Assurance
41190
INSURER C:
Fort Collins, CO 80526
INSURER D :
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 CONTRACTOR 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.
IN SR
L�
TYPE OF INSURANCE
DO
OR
UB
POLICY NUMBER
POLICY EFF
MW00
POUCY EXP
MMIOD
Lm"
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X PD Ded:1,000
60073860
0/0112013
IOIOM014
EACH OCCURRENCE
s11000000
PREMISES EaE¢urares
$106000
MED EXP (My ore person
$S 000
PERSONAL _& ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2 000,000
GENL AGGREGATE
PODGY
LIMIT APPLIES PER:
X " FXI LOC
PRODUCTS -COMPIOP AGO
s2000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS X AUTOS
OWNEO
X HIREDAUTOS X MIT0.5
60073860
0/01/2013
10101/2014
E;;�a,DSINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Par eccidenl)
$
PROPERTY DAMAGE
Per dem
s
3
A
X
UMBRELLA ULa
EXCESS LIAR
X
OCCUR
CLAIMS•MADE
60073860
0101/2013
10/01/201
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1000000
DEO I X RETENTIONEIOOOO
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIFJtECUTIVE --1
OFFICERIMEMBER EXCLUDED?
pAurassa rym NMI
If DESCRIPTION OF OPERATIONS below
N/A
4073697
0/011=13
10101=14
X WC STATU- OTH•
E.L. EACH ACCIDENT
$500000
E.L. DISEASE -EA EMPLOYEE
s5000OO
E.L. DISEASE -POLICY LIMIT
$509 000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES IAKach ACORD 101, Additional Remarks Schedule, if more space Is required)
Re: Contractors License
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80521
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
ACORD 25 (2010/05) 1 Of 1
#S831060/MB30039
U 196ti-2010 ACUKU CUKPUKAI IUN. All rlgnts rese"ea.
The ACORD name and logo are registered marks of ACORD