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