HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE (3)Psua,xR�ux
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CERTIFICATE OF LIABILITY INSURANCE
DATE
09/16/20016n
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(les) must be endorsed. U 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 1-303-534-4567
IxA, Inc. - Colorado Division
CONTACT
NAME:
PHONE FAX
No:
EDMUL
DURE deroaIDginacorp.co0
ADDRESS;
1705 17th Street
INSURE a AFFORODIG COVERAGE
NAICa
Suits 100
INSURERA: WESTFIELD NAIL INS CO
24120
Denver, CO 80202
INSURED
INSURERD: PINNACOL ASSURANCE
41190
INSURER C:
Central Nechenlcal Inc
'
INSURER D:
3774 Puritan Nay
INSURER E :
INSURER F:
Erie, CO 00516
rnvroAGFR CFR7IFICATF MIIMRFR- 41435717 RFVIRION NURIRFR-
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
OF INSURANCE
ADDILTYPE
..Sn
Mn SUER
POLICY NUMBER
MMNDYEFF
POLICY UPUNIT$
A*CIOMMERCIM.GUE11ALLINSILITY
TRA0270666
04/01/14
04/01/15
EACH OCCURRENCE
S 1,000,000
CWMSJJADE OCCUR
PAR MUSES mvrtenc
S 500,000
MEDEXP("Onepenm)
$ 5,000
Ded: $1,000
PERSONAL S ADV INJURY
S 1,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
GENI
POLICY [�] jECT R LOC
PRODUCTS -COMPMIP AGG
S 2,000,000
$
OTHER:
A
AUTONUNUE
LIABILITY
TRA0270666
0{/01/1{
04/01/15
COMBINED SINGLE LIMB
f 1,000,000
BODILY INJURY(P. pe.)
S
ANY AUTO
BODILY INJURYUTOS
Ix
ALL OYMED SCHEDULED
AUTOS
PROPERTYDAMAGE
S
HIREDAUTOS H AUTOS ED
t
A
LARI
Z
OCCUR
TRA0270666
04/01/14
04/01/15
EACH OCCURRENCE
S 1,000,000
AGGREGATE
T 1,000,000
IUMBRELLA
EXCESS LAB
CLAIMS -MADE
DIED I X I RETENTION 0
f
B
WORMERS COMPENSATION
AND EMPLOYER& UJURLT' YIN
ANY PROPRIETORIPARTNEREXECUTIIE aNIA
OFFICERAIEMBER EXCLUDED?
(W aY In NH)
4071685
10/01/14
10/01/15
z STR OT14
AER
E1.EACHACCIDENT
i1, 000,000
E.L.DISEASE-EAEMPLOYE
$ 1,000,000
0 yes Oeaal0a Ue0M
DESCRIPTION OF OPERATIONS Eetnu
EL DISEASE -POLICY LIMB IS
1,000,000
DESCMI N OF OPEMnONS I LMATM)NS I VEHICLES (ACORD 101, AOO RMnMYN aNWUN, AMY M AMNCIIFM NRwn Fpeu M MOU6e0)
Contractors License.
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.
1 North College Ave.
AUTHORIZED REPRESENTATNE
O. BOX 580,1
rt Collins,
, CO 80521-0000 /!
1 USA
01989.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
Xmeamar
41435717
a