HomeMy WebLinkAbout131769 PATRICK PLUMBING & HEATING - INSURANCE CERTIFICATEClient#: 29628
PATPI
ACORD.CERTIFICATE OF LIABILITY INSURANCE
DTE 9129/veD/YYvr)
/29/2014
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
Flood and Peterson
Corporate Mailing Address:
P. O. Box 578
Greeley, CO 80632
CONTACT Kylie Miller
PHONE 970 266-7148 FAX 970 506$846
AIC No Est : Alc, No
EWAIL ADDRESS: KMiller@FloodPeterson.com
INSURERISI AFFORDING COVERAGE
NAIL If
INSURER A: Continental Western Group
INSURED
Patrick Plumbing & Heating, LLC
3600 Horsetooth Court
INSURER B : Plnnacol Assurance
INSURER C
Fort Collins, CO 80526
INSURER O:
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 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.
LTRR
TYPE OF INSURANCE
NSRADDLSIJB
WVD
POLICY NUMBER
MMIDDY EFF
MMIDDYIYYYY
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F 7X OCCUR
X PDDed:1,000
CPA3071334
0101/2014
10/01/2011
EACH OCCURRENCE
$1000000
PREMISES OERENTED
nce
$100000
MED EXP (Anyone person)
ES 000
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
E2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- X LOG
PRODUCTS - COMP/OP AGO
s2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
CPA3071334
10/01/2014
10/01/201
CEO. BINEDISINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
N
BODILY INJURY (Par accident)
$
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
CPA3071334
10/0112014
10/01/2015
EACH OCCURRENCE
$1000000
AGGREGATE
$1000000
DEO X RETENTIONE
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED] N
(Mandatory In NH)
If yea, deaUbe under
DESCRIPTION OF OPERATIONS below
NIA
4073697
0/01/2014
10/01/201
XWCSTATU- OTH.
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
s500OOD
E.L. DISEASE -POLICY LIMIT
s500.000
A
Leased/Re nted
Equipment
CPA3071334
0/01/2014
10101/201
$100,000 Limit
$500 Deductible
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Re: Contractors License
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80521
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 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S938595/M938489 KXM