HomeMy WebLinkAboutSTEEL-T HEATING INC - INSURANCE CERTIFICATE (2)STEEL-1 OP ID: TV
,4coR0• CERTIFICATE OF LIABILITY INSURANCE
DATE (Mill
0912512014
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
ONTACT Scott E. Metzger, CIC, ARM
CNAME
PNONE FAX
AIC No EXe:303-996-7801 AIC No), 303-757-7719
E-MAIL
ADDRESS:
6600 E. Hampden Ave.
Denver, CO 80224
Scott E. Metzger, CIC, ARM
INSURE S AFFORDING COVERAGE
NAIC d
INSURERA: United Speciality Insurance Cc
INSURED Steel-T Heating, Inc.
INSURERB:The Travelers Companies
Heating Inc. DBA:
2750 S. Shoshone St., Ste. 240
INSURERC:Continental Western Ins Co.
10804
Englewood, CO 80110
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
LTR
TYPE OF INSURANCE
DL
UB
POLICY NUMBER
EFF
MMA)POLICD/YYYY
MMID POLICYY EXP
D/YY Y
LIMITS
A
X
COMMERCUILGENEIRALLUUSILITY
CLAIMS -MADE F_X1 OCCUR
8VO1413053
10/01/2014
10/01/2015
EACH OCCURRENCE
$ 1,000,00
_ffAMA ET N ED
PREMISES Ea occurrence
$ 50,00
MED EXP(Any one person)
$ Exclude
PERSONAL S ADV INJURY
$ 1,000,00
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY T JECT LOC
OTHER:
GENERALAGGREGATE
S 2,000,00
PRODUCTS-COMP/OPAGG
$ 2,000,00
$
C
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULEDBODILY
AUTOS AUTO$ X NON -OWNED
HIRED AUTOS AUTOS
CPA304219820
10/01/2014
10/01/2015
COMBINED SINGLE LIMIT
Ea academ
S 1,000,00
BODILY INJURY(Per person)
$
JX
INJURY (Pera¢itlanQ
$
PROPERTY DAMAGE
Peremtlent
$
IS
B
X
UMBRELLA LAB
EXCESS LAB
X
OCCUR
CLAIMS -MADE
ZUP13T5005913NF
10/01/2014
10/01/2015
EACH OCCURRENCE
$ 3,000,0011
AGGREGATE
$ 3,000,00
DED X RETENTIONS 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
IEX ANY PROPRIETORIPARTNERECUTIVE YIN
OFFICER/MEMBER EXCLUDED9
(Mandatory in NH)
If yaa, daecnbe urMer
DESCRIPTION OF OPERATIONS below
NIA
NO COVERAGE WITH CRS
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. AddlBonal Remarks Schedule, mey W etlauhad If more specs Is required)
1 policy terms, conditions and exclusions apply.
CITYFTC
City of Fort Collins
215 N. Mason Street 2nd Floor
Fort Collins, CO 80522-0580
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
�Aq
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD