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HomeMy WebLinkAboutKERWIN PLUMBING & HEATING INC - INSURANCE CERTIFICATEKERWI-1 OP ID: ARH ,44CC>M0" CERTIFICATE OF LIABILITY INSURANCE `/ DATE(MM/DDMlYY) 0812512014 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 CONTNAMEACT Sherry A. McGann PRONE FAX Arc No El,303-996-7801 Am No: 303-757-7719 EMAIL ADDRESS: 6600 E. Hampden Ave. Denver, CO 80224 Sherry A. McGann INSURERS AFFORDING COVERAGE NAIC d INSURER A: Colorado Casualty Insurance Co INSURED Kerwin Plumbing & Heating Inc. INSURER B: Pinnacol Assurance Terry Kerwin P.O. Box 1176 INSURER C: Broomfield, CO 80038 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 LTRam TYPE OF INSURANCE ADDL BB IBM POLICY NUMBER MMIDDPOLICYEPP /YYYY MMDCYDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Cl-AIMS-MADE Al OCCUR BKS55586372 I 09/01/2014 09/01/2015 EACH OCCURRENCE $ 1,000,00 DAMA ET RENTED PREMISES ERENTE once $ 300,00 MED EXP (Any one person) $ 16,00 PERSONAL B ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY PEA 171 LOC OTHER GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben. $ 1,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOSAUTOS N BA8863079 09/01/2014 09101/2015 COMBINED SINGLE LIMIT Ea .odder $ 1,000,00 X BODILY INJURY(Per person) 3 BODILY INJ URY (PeraccidenI) $ X PROPERTY DAMAGE Per scodent $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CIAIMS-MADE US055586372 09/01/2014 09/01/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 OEO I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORRARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. deembe ender DESCRIPTION OF OPERATIONS below NIA 4027532 09/01/2014 09/01/2015 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL.DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is re tubed) All policy terms, conditions and exclusions apply. CIFORTC City of Fort Collins P.O. Box 580 Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD