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HomeMy WebLinkAboutPHILLIPS PLUMBING AND MECHANICAL INC - INSURANCE CERTIFICATEClient#: 39272 PHIPI ACORD.. CERTIFICATE OF LIABILITY INSURANCE D 7/1112OD/YYYY) 1/11/2014 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 endorsement(s). PRODUCER CONTACT Dana Stewart NAME: Flood 8 Peterson Ins., Inc. ac°, Me Eat): 970 266 7149(IC, Nei: 970 506 6845 P. O. Box 578 E-MAIL Dstewart ood eterson.com ADDRESS: P Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIC# 970 356-0123 INSURER A: Continental Western Group 31325 INSURED INSURER B : Plnnacol Assurance Phillips Plumbing and Mechanical, Inc. 217 Versaw Court NSURER C Berthoud, CO 80513-2228 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 TYPE OF INSURANCE ADDL INSR BURR MD POLICY NUMBER POLICY EFF MMfDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR X PDDed:2,500 CPA3065002 8101/2014 08/01/2015 EACH OCCURRENCE $1000000 PREMISS EaaN. once $300,000 MED EXP (My one person) s5,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PROJECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILELUIBILITV ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CPA3065002 8/01/2014 08/01/201fCE0MBINaccidEDISINGLELIMIT X BODILY INJURY (Per person) BODILY INJURY (Per accident) X PROPERTY DAMAGE Per accident Ws3,000,OOO A X UMBRELLA LIAB EXCESS LIAB XOCCUR CLAIMS -MADE CPA3065002 8/01/2014 08/01/201 EACH OCCURRENCE AGGREGATE DED I I RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETOR/PARTNEWEXECUTIVE Y/N OFFIOEIVMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4059626 8/01/2014 08/01/201E X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYEE $1,000000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins PO Box 580 Ft 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and loco are reaistered marks of ACORD