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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