HomeMy WebLinkAboutCANYON MECHANICAL INC - INSURANCE CERTIFICATEClient#: 34756
CANME
ACORDra CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDffYYY)
11/18/2014
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 endomement(s).
PRODUCER
Flood 8 Peterson Ins., Inc.
P. O. Box 576INC,No,Ss,):
Greeley, CO 80632
NCONTACT
AME: DQDISe Carlson
PHONE g70 SO6J221 ac, No : 970 506-6820
E-MAIL @Flood dcarlson p
ADDRESS: eterson.com
INSURERS) AFFORDING COVERAGE
NAIL4
970356-0123
INSURER A: Colorado Casualty Insurance
INSURED
Canyon Mechanical, Inc.
INSURER B: PlnnaC01 ASSUranCe
INSURER C:
PO Box 327
INSURER0:
Berthoud, CO 80513
INSURER E :
INSURER F :
MC V IOIVIY nUMOCn:
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.
INSR ADDL SUBR POULY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR MD POLICY NUMBER MMIDp/YYYY MMIDO/YYYY LIMITS
A
GENERALLIABIUTY
COMMERCIAL GENERAL LIABILITY
Cl-AIMS-MADE OCCUR
BKS1555648252
101141201410/14/201
RRENCE
$1000000
X
RR AMA
E.NTEDnce
5300000
y ore person)
$15 000
ADV INJURY
MCOMBINEDSINGLELIMIT
$1,000,000
GREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY X JEo LOC
PRODUCTS AGG
$2,000,000
8A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS X 10N-0WNED
AUTOS
BA2019911
10/14/201410/14/2O1
EaaaccidenntINGLELIMIT
1,000,000
X
BODILY INJURY (Per Person)
$
BODILY INJURY (Per acdtlem)
$
X
PROPERTY DAMAGE
Per accitlent
§
B
UMBRELLA EXCESS LIAB
EXCESS
OCCUR
CLAIMS -MADE
NIA
4001984
6/01/2014
06/01/201
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION§
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY
OFFICANY ER/MEIMSERF�CLUOED)ECUTIVE�
(Mandator, dewy in NH)
U Mend ator, in NH)
DESCRIPTION OF OPERATIONS below
WC STATU- OTH-
X TORY LIMITS ER
$
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYEE
$100000
E.L. DISEASE -POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORO 101, AEEitlonal Remarks Schedule, It more apace is reyulreE)
The certificate holder is named as an additional insured as their interest
may appear in reference to the named insured's operations. (Excluding
Workers Compensation)
City of Ft. Collins
P.O. Box 580
Ft Collins , CO 80522
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
v TsOe-�UIU AWRU CORPORATION. All rights reserved.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S951471/M951451 KMM