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PRISTINE PLUMBING LLC - INSURANCE CERTIFICATE
PRIPL Client#: 52773 ACORD. CERTIFICATE OF LIABILITY INSURANCE D7/221 VDmrrrrl /2212014 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 Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 NAME: CONTACT Sulannah Prelsendorf PHONE 970-506-3261 F 970-506-6820 A/C No Eat : NC No ADDRIESS: SPreisendorf@FloodPeterson.com INSURERS AFFORDING COVERAGE NNCk INSURER A: Continental Western Group INSURED - Pristine Plumbing, LLC 1504 Longs Peak Drive Fort Collins, CO 80524 INSURER B: Plnnacol Assurance INSURER C: INSURER ER INSURER : 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 CONTRACTOR 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. �TRR TYPE OF INSURANCE NSRL SUB POLICY NUMBER POLICY EFF MMFDDYn LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lxj OCCUR CPA306520421 5/30/2014 05/30/2011 EACHOCCURRENCE OECTCURRENCE $1000000 gq PREMISES EeEONccTUEnenm $100000 MEDEXP(Anyoneperson) $5,000 &ADV INJURY $1,000,000 -PERSONAL GENERALAGGREGATE $2,000,000 IT AGGREGATE POLIJECTCY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMPIOP AGO $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Eo accident BODILYINJURY(Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accdent $ $ UMBRELLA LIAS EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEMEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, descntm under DESCRIPTION OF OPERATIONS ael. NIA 4166967 8/13/2014 08/01/2015 J( WCSTATU- OTH- ER E.L. EACH ACCIDENT $100000 E.L. DISEASE - EA EMPLOYEE $100000 E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is remained) City of Fort Collins PO 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 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 #S914547/M914533 The ACORD name and logo are registered marks of ACORD SMP