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HomeMy WebLinkAboutBRADLEY PLUMBING LLC - INSURANCE CERTIFICATEACORDO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY) 05/04/2014 1 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 DAY LARSEN PEDERSEN INS 3030 W 81ST AVENUE WESTMINSTER CO 80031 CONTACT ALYSSA HUDZISZ PHONE FAX (A/C, No. Ert'. 888 793-1481 A/C No.: 800 974-0297 EMAIL ADDRESS: SERVICECENTERCDUNITEDFIREGROUP.COM PRODUCER CUSTOMER ID III. INSURERS AFFORDING COVERAGE NAIC # INSURED BRADLEY PLUMBING LLC 6612 AVONDALE RD UNIT 3H FORT COLLINS CO 80525-7017 INSURER A: United Fire & Casualty 13021 INSURER B. INSURER C: NSURER 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. INSA LTR I TYPE OF INSURANCE ADDL INSR SUBR WvD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYV LIMITS A COMMERCIAL GENERAL LIABILITY J( COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—xl OCCUR N N 0134 60384629 06/26/2014 06/26/2015 EACH OCCURRENCE 1,000, DAMAGE TO RENTED PREMISES Ea occurrence 100 $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ 1,000,0 GEN'L AGGREGATE LIMIT APPLIES PER'. PRO X POLICY �JECT �LOC OTHER: GENERAL AGGREGATE $ 2,000,OOC PRODUCTS-COMP/OP AGG $ 2,000, OOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per rson $BODILY INJURY Per accident $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE g AGGREGATE DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICERIMEMBER EXCLUDED? IMmdaory In NH) If yes, descrioe under DESCRIPTION OF OPERATIONS below NIA PER STATUATE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES (ACORD 101, Additional Remarks Schedule, If more space is required) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 1411c173�m1\rDJCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 8 0 5 2 2— 0 5 8 0 AUTHORIZED REPRESENTATIVE ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD © Iasi All rights reserved.