HomeMy WebLinkAboutPROTECH PLUMBING & HEATING INC - INSURANCE CERTIFICATEACORO®
� CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/ODNYYY)
1224/2014
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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
NOANNITACTCLIENT CO NTACT CENTER
n/cntEio Ext:888-333-0949
Fwc No:507-446-4664
ADDARESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 284-740-8
INSURER B:
PROTECH PLUMBING & HEATING INC
INSURER C:
950 COMANCHE ST UNIT A
INSURER D:
ESTES PARK, CO 80517
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 4 REVISION NUMBER: 0
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
OL
INSR
SUBR
WVD
pDUCV NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MMIODIYVYY
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FxI OCCUR
X BUSINESS OWNER'S LIABILITY
N
N
9920569
02/01/2015
02/01/2016
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrencel
$100,000
MED EXP (My one person)
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES
PRO-
ECT
PER:
LOG
PRODUCTS - COMP/OP AGG
$2,000,000
AAUTOS
rOMOBILE
LIABILITY
ANVAUTOBODILY
ALLOWNEDSCHEDULED
AUTOS
HIRED AUTOS NON -OWNED
AUTOS
N
N
9920570
02/01/2015
02/01/2016
COMBINED SINGLE LIMIT
Ea acci een
$1,000,000
INJURY (Per person)
BODILY INJURY (Per accieenq
PR
PeOPERTY GAGE
r accideAM
A
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAMS -MADE
N
N
9920571
02/01/2015
02/01/2016
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
DED I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOWPARTNERIEXECUTIVE
OFFICER/MEMBER E%LLUDED±
(Mandatory in NH)
If yes, eescribe weer
DESCRIPTION OF OPERATIONS below
NIA
WC STATU-
TORV OMITS
OTH-
ER
E.L EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE
El DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Macif ACORD 101, Additional Remarks Stl chile, II more spare is required)
284-740-8
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
40
UNNUCLI-/a I IUN
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
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD