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HomeMy WebLinkAboutFOOTHILLS GUTTER & INSULATION DBA TELK SHEET METAL - INSURANCE CERTIFICATEOP ID: VIM A`o�Ro' CERTIFICATE OF LIABILITY INSURANCE D0511ATE 21201YYI OS/12/2014 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: 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 4848 Thompson Pkwy, Ste 200(A/C, Johnstown, CO 80534 Dave Janssen CONTACT PHONE FAX No Eat): AIC No E-MAIL ADDRESS: PRODUCER FOOTH-5 CUSTOMER ID p: INSURERS) AFFORDING COVERAGE NAIC d INSURED Foothills Gutter & Insulation INSURER A: EMC Insurance Companies 21415 Inc. INSURER B: Plnnacol Assurance CO 41190 Telk Sheet Metal Works, Inc. Elba INSURER C : INSURER D: PO Box 2156 INSURERE: Loveland, CO 80538 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 LTR rypE OF INSURANCE ADDL Ue POLICY NUMBER POLICY EFF IMMUDDIYYYYI POLICY EXP [MMIDDtYYYY1LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSJ'MDE 1K OCCUR X Blkt Add'llns'd 5D06555 12I05/2013 12/05/2014 EACH OCCURRENCE $ 1,000,00 DAMA E TO R N E PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL$ ADV INJURY $ 1,000,00 X Blkt Wvr of Subr GENERALAGGREGATE $ 2,000,0010 GENL AGGREGATE LIMIT APPLIES PER: X POLICY PRO - IFCTn LOC PRODUCTS - COMP/OP AGG $ 2,000,0010 $ A AU TOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 5E06555 12/05/2013 12/05/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYE (PER ACCIDENT) $ X X Comp Ded $ 50 Coll Ded $ 50 UMBRELLA LMB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ I $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESC RI PTION OF OPERATIONS below NIA 4173269 04/30/2014 12/01/2014 WC STATU- OTH- RY LIMITS I X E E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 A Property 5A06655 12/05/2013 12/05/2014 BPP 25,00 Ded 50 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remedios Schedule, If more space Is required) If required by written contract or written agreement the certificate holder is included as additional insured for ongoing operations. FCUTILI Fort Collins Utilities Attn: Kaye Mathea P.O. 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 V 1988-2U09 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD