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Home My WebLink AboutFOSTER AND SON PLUMBING INC - INSURANCE CERTIFICATEFOSTE-2 OP ID: SJR ,a►. o CERTIFICATE OF LIABILITY INSURANCE `--� D06/11 2014r) osn vzola 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 CRS Insurance Brokerage Commercial Risk Solutions DBA 6600 E. Hampden Ave. Denver, CO 80224 NAMEACT Eric Johnson, CIC PHONE FAX Arc: Na Ea:303-996-7601 An: No): 303-757-7719 EMAIL ADDRESS: Eric Johnson, CIC INSURER(S) AFFORDING COVERAGE NAIC d INSURER A: Colorado Casualty Insurance Co INSURED Foster and Son Plumbing, Inc. INSURER B: PInnacol Assurance Kurt Foster 2111 South Trenton Way Ste 108 NSURERC: Denver, CO 80231 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 LTR rypE OF ADI POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LUIBILITY CLAIMS -MADE F_X1 OCCUR X BKS55601689 06/03/2014 06/03/2015 EACH OCCURRENCE S 1,000,00 PREMISES Earn %nm $ 300,00 MED EXP (Any one Person) $ 15,00 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEST LOC GENERAL AGGREGATE $ 2,000,00 X PRODUCTS - COMP/OP AGG $ 2,000,00 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es acatlent $ 1,000,00 X BODILY INJURY (Per person) $ A ANY AUTO BA6784096 06/03/2014 06/03/2015 ALL OWNED SCHEDULED AUTOS AUTOS ( ) BODILY INJURY Par accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peracatlent $ S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 A EXCESS LUIB CLAIMS -MADE US055601689 06/03/2014 06/03/2015 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? �Y N/A 4148484 06/01/2014 06/01/2015 PER OTH. XI STATUTE I ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE S 1,000,00 (Mandatory In NM) ny describe untler DESCRIPTION OF OPERATIONSbslo EL.DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Reentries Schedule, may W asserted if more space is required) City of Fort Collins is included as additional insured for ongoing operations on the General Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CITYFTC City of Fort Collins 300 LaPorte Avenue Fort Collins, CO 80521 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 C �.�— 9)1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD