HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE (4)>1311199MEN!
ACC)R& CERTIFICATE OF LIABILITY INSURANCE
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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 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 endorsement(s).
PRODUCER 1-303-534-4567
IRA, Inc. - Colorado Division
CONTACT
NAME:
PHONE FAX
(NG. No. END. Not
E-MAIL DBnA4COUntTeChaBimacorJp.com
ADDRESS:
1705 17th Street
INSURE S) AFFORDING COVERAGE
NAN:N
Suite loo
INSURERA: WESTFIELD NATL IRS CO
24120
Denver, CO 80202
INSURED — --� —
INSURER B: PIMM&COL ASSURANCE
41190
INSURER C
Central Mechanical Inc
INSURER D:
3774 Puritan Nay
INSURER E :
INSURERF:
Erie, CO 80516
COVFRAGF6 CFRTIFICATF NUMRER• 43354783 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.
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LTR
TYPE OF INSURANCE
OOL
SUER
POLICY NUMBER
POLICY EFF
MMID
POLICY EX
AMID
UNITS
A
Z
COMMERCIAL GENERAL LIABILITY
�
CLAIMS -MADE I J OCCUR
PD Ded: $1, 000
I
TBA0270666
I
04/01/15
04/01/16
EACH OCCURRENCE
$ 1,000,000
DAMAG 7 lTED
PREMISES lEa occummos
S 500,000
Z
MED EXP (Any one person)
$ 5,000
PERSONAL S ADV INJURY
S 1,000,000
GENiAGGREGATE UNIT APPLIES PER:
POLICY JJEE T a LOC
OTHER:
GENERAL AGGREGATE
s 2,000,000
PRODUCTS-COMP/OP AGG
= 2,000,000
$
A
AUTOMOBILE LIABILITY
z ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUT
NON -OWNED
z HIRED AUTOS X AUTOS
TRA0270666
04/01/15
04/01/16
COMBINED SINGLE LIMIT
Es accident
$ 1,000,000
BODILY INJURY (Per person)
S
BODILY INJURY (Per acddmQ
$
PROPERTY DAMAGE
1ptr accimentl
$
s
A
JXUMBRELLALLAB
EXCESS L AO
N
OCCUR
CLAIMS -MADE
TRIL0270666
04/01/15
04/01/16
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
DIED I z RETENTIONS 0
s
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNEUEXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, descnbe under
DESCRIPTION OF OPERATIONS below
NIA
4071688
10/01/14
10/01/15
z PTR OR" -
EL. EACH ACCIDENT
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
4 1,000,000
El. DISEASE - POLICY LIMIT
S 1, 000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached I more epee is required)
Contractors license.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
281 North College Ave. AUTHORIZED REPRESENTATIVE
P.O. Box 580 /% s
Fort Collins, CO 80522-0000
I USA !!!
IV 1988-ZU74 AGUKU GUKI'UKAI AUK. All rlgnis reserVBO.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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43354783