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KAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (3)
Client#: 24889 KAHPL ACORD. CERTIFICATE OF LIABILITY INSURANCE D11/01ATE 2013 Y) 11/01/2073 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 NAME: Kelly Beauvais Flood &Peterson Ins., Inc. PA"�o"N E,FAX 1; 970 266-7121 Arc tip; 970 506-6846 P. O. Box 578 ADD ESS, kbeauvais@floodpeterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIC0 970 356-0123 INSURER A: United Fire & Cas. INSURED ,.,.,,ewe e . Pinnacal Assurance Kahar Plumbing & Heating, Inc. 6772 & 6766 North Franklin Avenue Loveland, CO 80538 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. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM/DDV� MMIDUY/VYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR 60074717 1/15/2013 11/1512014 E1000000 EEpAApCCMHpp�OO�EECCURppRENCE PREMISES EeEONaurD, E100 000 MED EXP (Any oneperson) $5 000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE E2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY-X PRO- LOC PRODUCTS-COMP/OP AGG E2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOAUTOS X HIREDSAUTOS X NON -OWNED AUTOS X Drivit Oth Car 60074717 1/15/2013 111[15/2014 COMBINED BIINdEeDtSINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ $ A X UNISRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 60074717 1/15/2013 11/1512014 EACH OCCURRENCE $1000000 AGGREGATE $1 00O 000 DIED I X RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVEY/N OFFICEFUMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, desuil a under DESCRIPTION OF OPERATIONS lesions N/A 1542230 7/0112013071011201 X WCSTA �- OTH. E.L. EACH ACCIDENT 6500000 E.L. DISEASE- EA EMPLOYEE $500000 E.L. DISEASE -POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S840339/M840324 KLB