HomeMy WebLinkAboutTOTAL PLUMBING INC - INSURANCE CERTIFICATEP5260NM
A� o® -- CERTIFICATE OF LIABILITY INSURANCE
D06/03/2051
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: N 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 1-303-534-4567
INA, Inc. - Colorado Division
CONTACT
NAME:
NAME:
PHONE FAE
N0:
"OREN: denDamilimacorD•com
1705 17th Street
suite 100
Denver, CO 80202
INSURERS AFFORDING COVERAGE
NAICC
INSURERA: WESTFIELD INS CO
24112
INSURED
Total Plumbing, Inc.
INSURER B: TRAVELERS PROP CAS CO OF AMER
25674
IxSURERC: PINNACOL A990R
41190
INSURER D: CATLIN SPECIALTY INS CO
15989
4701 N. Colorado Blvd.
INSURER E:
Denver, CO 80216
INSURER F:
COVERAGES CERTIFICATE NUMBER: 40059252 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
rypE OF INSURANCEADDL
POLICYNUMBER
POLICY EFF
POLICY UP
NNID
LIMITS
A
GENERAL LIABILITY
CNKS224064
06/01/1
06/01/15
EACH OCCURRENCE
S 1.000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADErx] OCCUR
DA ETOR NTED
PREMISES Ee omwnme
$ 500, 000
MEDEXP(Amrone,smun)
S10,000
PERSONAL 4 ADV INJURY
$ 1,000,000
GENERALAGGREGATE
S 2,000,000
GENT AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP,OP AGO
f2,000,000
POLICY
- PRO- % LOG
S
A
LIABILITY
131"224064
COMBINED SINGLE LIMIT
1, 000, 000
BODILY INJURY(Pw mmon)
S
MY AUTO
POMOBILE
ALL OWNED SCHEDULED
AUTOS AUTOS
BOpILYIWURY (Pw eoWem)
f
% NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Perealtl M
f
f
B
%
UMBRELLA LAB
E
OCCUR
2UP41M0648014NP
0610111
06/01/15
EACH OCCURRENCE
f 51000,000
AGGREGATE
f 51000,000
EXCESS Like
CIAIMSMADE
OED I E I RETENTION S 10, 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YINLIM
4090803
10/01/1
10/01/14
X WC STATdU DTH-
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETOR?ARMERIE%ECUnVE
OFFICERIMEMBER EXCLUDED? �
NIA
E.L. DISEASE -EA EMPLOYE
S 1, 000,000
(Nen"Lory in NH)
If desaibo wb«
DESCRIPTION OF OPERATIONS bob.
E.L.DISEASE -POLICY LIMIT
S 1,000,000
-7
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Amami ACORD IM, Addliond Renaft Schedule, N mom yea Is,eeubd)
Certificate Holder is included as Additional Insured GO the General Liability Policy if rewired by written contract or
agreement and with reaped to work performed by Inured subject to the policy terms and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
281 N. College AUTHORIZED REPRESENTATIVE
P.O. Box SSO /
Port Collins, CO 80522 (/ /(
i USA
reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
SDEN
40059252
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DA
06/033//2014
NAME OF INSURED: Total Plumbing, Inc.
Additional Descdotlon of Operations/Remarks from Page 1; -
Additlonal Information:
Installation Floater Coverage Policy pgT6609470B83ATIL14
Insurer Br See Above Effective: 06/01/14-06/01/15
$1,000 Deductible SPC Form
$600,000 Any 1 Location Limit
$600,000 Per Disaster Limit
$600,000 Temporary Location/Transit Limit
•$600,000 Flood/Earthquake Limit •$25,000 Deductible
Pollution/Professional Liability Coverage Policy gCPL2061260615
Insurer D: See Above Effective: 06101114-06101115
Claims Made Includes Mold
$2,000,000 Aggregate
$2,000,000 Per Claim
$50,000 SIR
SUPP (05/04)