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HomeMy WebLinkAboutBOONE PLUMBING LLC - INSURANCE CERTIFICATEBOONE-1 OP ID: P6 ,a►`oao° CERTIFICATE OF LIABILITY INSURANCE DATD/YYYYI 08108114 08108 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 Phone: 970-482-7747 Brown 8. Brown Inc Fax: 970-484-4165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account CONTACT NAME: PHONE FAX ac No EMI:INC, No: EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC d INSURERA:United Fire 8: Casualty Co. 13021 INSURED Boone Plumbing, LLC Michael J. Smith INSURER B: Owners Insurance Company 32700 P.O. Box 889 INSURERC: INSURER D: Wellington, CO 80549 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REV!SlnN 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, INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DDNYYYI POLICY EXP (MMIDDNYYyJ UNITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY FvI CLAIMS MADE OCCUR 60370088 02/21/14 02/21/15 DAMA RENTED PREMISES Ea o=rrence $ 100,00 NED EXP(Any one person) $ 5,0D PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO LOD S MOBILELIABILITYCOMBINED SINGLE LIMIT S1,000,DDB BODILY INJURY(Per person) E 4649213300 09/08/14 09/08/16 LLOED X SCHEDULED UTOAUTO$ FANYEAJTO BODILY INJURY Per accident ( )IRDUTOS S NON -OWNED AUTOS PROPERTYDAMAGE Per accident $ E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LU1B CLAIMS -MADE DIED I I RETENTION$ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORRARTNER/EXECUTIVE OFFICERNEMBER EXCLUDED? NIA WC STATU- OTH- T RV R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ [Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks ScInedule, if mom space Is required) FAX: 970-224-6134 CITYF11 City of Fort Collins P 0 Box 5080 Fort Collins, CO 80622 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 S•G�L�e_ 01988.2010 ACORD CORPORATION_ All rinhfa mm,...nd ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD