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HomeMy WebLinkAboutH&M MECHANICAL LLC - INSURANCE CERTIFICATE'``l b?e CERTIFICATE OF LIABILITY INSURANCE 7/31/2014�) 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. U 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 CONTACT NAME: BrandiE Zuckerman, CRIS. Moody Insurance Agency, Inc. 8055 EastPHONE Tufts Avenue (303)824-6600 FNL No:(303)370-0118 E-MAIL .brandie.zuckerman@moodyins.com Suite 1000 INSURERS AFFORDING COVERAGE NAIC9 INSURERA:Union Insurance Co 25844 Denver CO 80237 INSURED INSURER B:Pinnacol Assurance 41190 INSURER C: B&M Mechanical, LLC INSURER D: 108 E RIIm a Street NSURER E Lafayette CO 80026 INSURER,: COVERAGES CERTIFICATE NUMBER:14-15 No Forma 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 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. MISS LTR TYPE OF INSURANCE ADDLSUBR I=POLICY NUMBER POLICY EFF MMDNYYY POLICY EXP M /YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE E 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR PA3068937-21 /1/2014 8/1/2015 DAMAGE( RENTED PREMISESSEa occurrence) E 11000, 000 MED EXP (My one person) E 10,000 PERSONAL B ADV INJURY E 11000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG 9 2,000,000 X1 POLICY 'PRO LOG E AUTOMOBILE LIASILDY COMBIBI tlEEDt SINGLE LIMIT 1,000,000 =� BODILY INJURY (Per person) S A MY AUTO ... ALL OWNED X SCHEDULED AUTOS AUTOS - PA3068937-21 /1/2014 8/1/2015 1C BODILY INJURY .. (Per accident) E HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident' S E X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE S 3,000,000 A EXCESS LIAB CLAIMS MADE DED I I RETENTIONg - $ PA3068937-21 8/1/2014 8/1/2015 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) II es. describe under N/A 4166620 /1/2019 /1/2015 X WC STATU- OTH- I TOR LIMITS FR E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ $00 000 E.L. DISEASE - POLICY LIMIT E $ GD 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Aflach ACORD 101, Additional Remarks Schedule, if more space is required) Fort Collins PO Box 580 Ft. Collins, CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 80522 I AUTHORIZED REPRESENTATIVE ACORD Zuckerman, CRIS/BRA 1988-2010 ACORD CORPORATION. ursauzo (201005pol The ACORD name and logo are registered marks of ACORD