HomeMy WebLinkAboutH2O PLUMBING & HEATING INC - INSURANCE CERTIFICATEH2OPL-1 OP ID: SH
166 R CERTIFICATE OF LIABILITY INSURANCE
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ATE (MMIFIDONYYY)
°06/04/ 014
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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