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HomeMy WebLinkAbout330514 KUCK MECHANICAL CONTRACTORS LLC - INSURANCE CERTIFICATE (3)KUCKM-1 OP ID: DP '1��� CERTIFICATE OF LIABILITY INSURANCE D07/22ATE /2014Y) onz2/2o1a 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 endorsements . PRODUCER Rich & Cartmill Ins of CO of Colorado LLC 8213 W. 20th Street Greeley, CO 80634 Michael J Schmitt CIC CONTACT NAME: Michael J Schmitt CIC PHONE FAX AICNo Ell, 970-356-8030 ac No : 970-356-8032 EMAIL - - - ADDRESS: INSURERS AFFORDING COVERAGE NAIC Is INSURER A: Pinnacol Assurance INSURED Kuck Mechanical ContractorsLLC PO Box 388 Loveland, CO 80539 INSURER 8: NSURER C 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 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. INBR LTR OF INSURANCE ADDLTYPE INSR V POLICY NUMBER MMIDDPOLICV/YYYY MM IDD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CIAIMSMADE ❑OCCUR EACH OCCURRENCE $ PREMISES JEa occurrence $ MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ $ FAAMOBILE LABILITY NYAUTOBODILY LL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMITEaaccident $ INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PER ACCIDENT $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, dew be under DESCRIPTION OF OPERATIONS bolcw NIA 4022260 08/01/2014 08101/2015 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 E.L. DISGCE -POLICY L'lA:T $ 11000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tat, Additional Ramarhs Schedule, Kmore space Is required) CITFOR City of Fort Collins PO 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 Michael J Schmitt CIC ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD