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HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE (4)>1311199MEN! ACC)R& CERTIFICATE OF LIABILITY INSURANCE osiasi2015 ' 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. am 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 njones201d 43354783