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Home My WebLink About102525 ALLEN PLUMBING & HEATING INC - INSURANCE CERTIFICATE (6)OP ID: RC . 14. R CERTIFICATE OF LIABILITY INSURANCE �� D06/1912AM Y4 06/19I2014 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 PFS Insurance Group • JT-NAME: 4848 Thompson Pkwy, Ste 200 CONTACT PHONE FAX INC. No EM EWAIL Johnstown, CO 80534 Dave Janssen-ADDRESS:PRODUCER i CUSTOMER ID N: ALLEN� INSURERS AFFORDING COVERAGE NAIC M INSURED Allen Plumbing & Heating Inc. INSURER A: EMC Insurance Companies 21415 & Allen Plumbing & Mechanical INSURER B: Pinnacol Assurance 41190 & Allen Service 101 S. Link Lane INSURER C: Fort Collins, CO 80524 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. INSR TYPE OF INSURANCE ADDL UB POLICY NUMBER MM DDPOLICY LTR /YYYYI (MM/DDYYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X Blanket Addl Ins 4X69971 03/01/2014 03/01/2015 EACH OCCURRENCE S 1,000,00 DAMA RENTED PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B AOV INJURY $ 1,000,00 X Blanket Waiver GENERAL AGGREGATE $ 2,000,00 GEN'LAGGREGATE"MIT APPLIES PER'. POLICY X PROIECT17 LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Blanket Al/Waiver 4X69971 03/01/2014 03/01/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per amident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ X $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 4X69971 03/01/2014 03/01/2015 EACH OCCURRENCE $ 5,000,00 �( AGGREGATE $ 5,000,00 DEDUCTIBLE RETENTION $ 10,000 $ X S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? Y (Mandatory In NH) If yes, desmbe under DESCRIPTION OF OPERATIONS below N/A 4049622 BLANKET WAIVER OF SUBRO 07/01/2014 IX 07/01/2015 WC TMU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. pISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 A (Equipment -Leased 4X69971 03/01/2014 03/10/2015 Eimd'It 101,00 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AMach ACORD 101, Additional Remarks Schedule, if more space is required) CITYOFC City of Fort Collins PO Box 580 Fort Collins, CO 805236 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 ,�arPC.�rwtQ _. U 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD