HomeMy WebLinkAboutGENESIS MECHANICAL LLC - INSURANCE CERTIFICATE (5)11/18/2014 3:45 PM FROM: Flood and Peterson TO: 9702216707 P. 2
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ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1a°'/"1v18/2014 '
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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 CERTFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: R 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
K lie Miller
Flood and Peterson
Corporate Mailing Address:
n5:970 266 7148 rb 970 506-6846
KM iller@RoodPeterson.com
P. O. Box 578
Greeley, CO 80632
INSURER AFFORDING COVERAGE
NAICa
IN&URERA:Continental Western Group
INSURED
INSURER B: Pinnacoll Assurance
Genesis Mechanical, LLC
5186 Longs Peak Road, Unit 1
Berthoud, CO 80513
-
INSURER
INSURER DD.:
INSURER E
INSURER F:
CITrYtAr7LT19 1:4.111: C9e\ 1:12 [1] kv, (1:1.1 :IXT1WUL`17111IT, 9
THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO'I'I IE 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,
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�ISERXCLUSIONS
LTR
TYPECFINSURANCE
N
POLICY NUMBER
UMlS
A
GENERALUAELITY
X OG.A.1ffCIALGBJL35ALL1P511T1'
OJNMSMADEF--X] OCCUR
X PDDed:2,500
CPA3067149
/01/2014
08/01/201
EACHOLCLFRENCE
$1 000 000
cmnars
$100000
M®EXP one an)
$5000
PERSOWLAADVINIURI
$1000000
GENEP ALAGGFEGA.TE
s2,000,000
GEN'LAGGREGATE LIMIT APPUES PER
Poucv X JIR 41 IOC
PRODUCTS-CU.P/CPACG
$2000000
$
A
AUrCMDBILEUABILRY
ANY AUTO
NOD T
CAUTNONOS
HFFDAURS AUTOS
CPA3067149
8/01/201408/01/201
&NM.UNIT
1,000000
X
BODILYINILIRY(Perperan)
$
BOOLV INIIRY (Pa aradsr)
$i
am
$
A
X
LwRE-LA UAB
EXCESS UAB
X
Qrsa R
C1.AIM1SiMDE
CPA3067149
8/01/2014
08/01/201
EACH oocuRREM E
$3 000 000
AGGREGATE
$3 000 000
BED I X1 RETENTICN
$
B
WDFKERSCOMPENSATION
AND EMPLOYERS UAEUTY
P PoEI �F� CUr1vE� A%
(M1err�ad"ti NH)
If 0 RIPUCNOFa OPERATIQYStx.
N/A
4146484
CANCELLED
4/01/2014
CANCELLEDANCELL
11/04/2014
X
30 EACHAmiDEvr
$500000
EL DISEASE - EA FARO
$500000
EL DISEASE -PCUCY UTAT
S500000
A
Leased/Rented
Equipment
CPA3067149
8/01/2014
08/01/201
$150,000 Limit
$1,000 Deductible
DESCRPnCN OFOPrPATCNS/LOCATIONS/ VEMCLES(AUahACORD101, AdMovel R Nark. SdwLa R rmre.p. Is raliraq
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POUCI ES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESIMATIVE
aimgran
All rinhte ro.—d
ACORD 25 (2010/0 1 oil The ACORD name and logo are registered marks of ACORD
11S951576/M 1524 KXM