Loading...
HomeMy WebLinkAboutH2O PLUMBING & HEATING INC - INSURANCE CERTIFICATEH2OPL-1 OP ID: SH 166 R CERTIFICATE OF LIABILITY INSURANCE `�" ATE (MMIFIDONYYY) °06/04/ 014 os/oa/zota 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(les) 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 CONTACT Nathan M. Fonseca PHONE 303-996-7801 FAX : 303-757-7719 o Esl No AIC No, 6600 E. Hampden Ave. Denver, CO 80224 EWAIL ADDRESS: Nathan M. Fonseca INSURERS AFFORDING COVERAGE NAIL a INSURER A: Auto -Owners Insurance 18988 INSURED H2O Plumbing & Heating, Inc. INSURER B: Pinnacol Assurance 15552 E. Fremont Dr. A-104 Centennial, CO 80112-6908 INSURER 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. INSR TR TYPE OF INSURANCE SUBSADDL POLICY NUMBER POLICY EFF IMMIDDIYYYY1 POLICY EXP IMMIDOIYYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O occuR 74362691 05I01/2014 05I01I2015 EACH OCCURRENCE $ 1,000,00 IUHoNItU PREMISES Ea occurrence $ 300,00 MED E%P (Any one person) S 10,00 X H&NOA-$1,000,00 PERSONAL &ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY a JET LOC OTHER. GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMPIOPAGG $ 2,000,00 $ A AUTDMOSILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS 4936269102 05/01/2014 05/01/2015 COMBINED SINGLE LIMIT Ea amdent S 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Par a.dant) $ PROPERTY DAMAGE Peracodenl $ $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 4936269101 05/01/2014 05/01/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 DED X RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIE%ECUTIVE OFFICERNEMBER E%CLUDEDP FR-1 (Mandatory In NH) I yea, daacnbe „nder 0 SCRIPTION OF OPERATIONS below NIA 4081676 05/01/2014 05/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 — E.L. DISEASE - POLICY LIMIT $ 1,000,00 A Equipment Floater 74362691 OW0112014 05/01/2015 Lsd/Rntd 70,00 Ded. 25 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more space Is rpulredl All policy termer 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 1988-2014 ACORD CORPORATION_ All rinhln raswruod ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD