Loading...
HomeMy WebLinkAboutATEK HEATING AND AIR CONDITIONING - INSURANCE CERTIFICATEATEKHEA-01 HPAYNE ACORO CERTIFICATE OF LIABILITY INSURANCE PATE(MM/DDNYYY) 0/26/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: PHONE 303 FAX 303 431-9237 (AIC, No, Ext): ) 420-1637 I (A/C, No):( Carver and Associates Insurance Services, Inc. 7710 Ralston Road Arvada, CO 80002 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Western Group 10804 INSURED INSURER B: Plnnacol Assurance 41190 Atek Heating and Air Conditioning INSURERC: 5979 Iris Parkway INSURER D: INSURER E: Frederick, CO 80504 INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X OCCUR X CPA3147646 10/01/2018 10/01/2019 —TICLAIMS-MADE DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ MED EXP (Any oneperson) $ 10,000 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER - GENERAL AGGREGATE $ 2,000,000 POLICY ❑PRO- 71LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 ._.S . . .OTHER: _. _._ __.. _ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 S X BODILY INJURY Perperson) $ ANY AUTO CPA3147646 10/01/2018 10/01/2019 OWNED SCHEDULED AUTOS ONLY AUTOS - - BODILY INJURY Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per ac.,dent)$ $ A X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,000 LlEXCESS LIAB CLAIMS -MADE CPA3147646 10/01/2018 10/01/2019 AGGREGATE $ DED I RETENTION $ Aggregate $ 5,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE f 7N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 4071312 08/01l2018 08/01/2019 I X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE ;_ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Crime (Includes Burg CPA3147646 10/01/2018 10/01/2019 RentEquip 100,000 A Crime (Includes Burg CPA3147646 10/01l2018 10/01/2019 Materials 530,604 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All projects of the Named Insured. Certificate Holder is named as Additional Insured, per the policy terms and conditions, on a primary basis if so required by written contract. City of Fort Collins Building and Zoning Dept. P.O. Box 580 Fort Collins, CO 80521 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD