HomeMy WebLinkAboutTOTAL PLUMBING INC - INSURANCE CERTIFICATE (2)P52.2. 2
ACORb° CERTIFICATE OF LIABILITY INSURANCE
09/23/220314
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. I
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. N SUBROGATION IS WANED, 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
ONTACT
NONE:
PHONE FOX
AC No:
E
ADDRESS:denpazaimacorp.com
ORE
1705 17eh street
INSU S AFFORDING COVERAGE
NAIC4
Suite 100
INSURERA: WESTFIELD INS CO
24112
Denver, CO 80202
WSURED
INSURERS: TRAVBLBRS PROP CAS CO OF AMER
25674
Total Plumbing, Inc.
INSURER CPINNACOL ASSOR
41190
INSURERD: CATLIN SPBCWd'I INS CO
15989
4701 M. Colorado Blvd.
INSURFA F:
INSURER F:
Denver, CO 80216
COVERAGES CERTIFICATE NUMBER: 41534294 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.
WSR
LTR
TYPE OF W8URAMCE
SUBR
POWYNUYSE0.
POLICY EFF
INAUDINYM
POLICY UP
(MmorrymUYRB
A
I
I COMMERCWL GENERAL LIABILITY
::MS -MADE IX-1 OCCUR
CMN5224064
06/01/14
06/01/15
EACHOCCURRENCE
f 1,000,000
PREMISES R mnen qI
500,000
MED UP (A, a a pPacn)
f 10,000
GENL
PERSONAL4ADVWJURY
i 1,000,000
AGGREGATE LIMIT APPLIED PER
PC1CY JECT LOC
OTHER:
GENERAL AGGREGATE
f 2,000,000
PRODUCTS - COMPIOP AGO
f 2.000,000
f
A
AUmMOBOE
Z
Z
LMJNUTY
ANYAUTO
ALL OWNEO SCHEDULED
AUTOS AUTOS
HIREDAUTOS E AUTOS NONOYMEO
C1015224064
06/01/14
06/01/15
EOMBIaErD SINGLE OMIT
f 1,000,000
BCOILYIWURY(Perpr )
{
BOpLLY INJURY (Pr axMeO)
f
PROPERTY DAMAGE
f
f
B
Z
UY8RF11A LIAR
EXCESS LIAS
2
OCCUR
CLAIMS -MADE
BG741110648014NP
06/01/14
06/01/15
EACH OCCURRENCE
f 5.000,000
AGGREGATE
f 5,000,000
DED I Z I RETENTONS 10, 000
f
C
WORKERS COMPENSATION
AND EMPLOYERS LIABILNY YIN
ANY PROPMETORIPARTNERIEXECUTIVE
OFFiC UEMDER EXCLUDED? OHIA
(Vm I" IP NH)
N yyeeaa RIP ION OF O
OESCRIPDON OF OPERATNNJS beION
4080803
10/01/14
10/01/15
Z I STATUTE OTH
E.L. EACH ACCIDEM
f 1,000,000
E.1-DU5EASE-EIkEMPLOYEE
f 1,000,000
E.L. DISEASE -POLICY LIMB
f 1,000,000
UESDRMON OF OPERATIONS I LOCADONS I VEHICLES(ACOAO 101, AWMeAY RwwIm aCMONM,nary M raCIW If rPra ft"b BN
Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or
agreement and with respect to work performed by Insured subject to the policy terns and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
N. College AUTHORED REPRESENTATIVE
Buz 580 A
Collin. CO 80522
I USA
01988-2014 ACORD CORPORATION. All rights reserve,
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
eametwt
41534294
0
n
7
w
Y5EdpluroE
DA/2014
SUPPLEMENT TO CERTIFICATE OF INSURANCE
09/
NAME OF INSURED: Total Plumbing, Inc.
Additional Descdotion of Ouemfions/Remarks from Page 1:
Additional Intonation:
Installation Floater Coverage Policy {0T6609470B83ATIL14
Insurer B: Bee 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 NCPL2061260615
Insurer D: See Above Effective: 06/01/14-06/01/15
Claims made Includes Bold
$2,000,000 Aggregate .
$2,000,000 Per Claim
$50,000 SIR
SUPP (05/04)