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HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE (2)P5260028002 cQ O ® DATE (MM/DD/YYYY) ACOR© CERTIFICATE OF LIABILITY INSURANCE 09/19/2018 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 endorsemenl(s). PRODUCER 1-303-534-4567 CONTACT NAME_:_ IMA, Inc. - Colorado Division - - _-- _---- PHONE FAX (AtC.NIL Extl: IMC. Not: -- E-MAIL DOnACCOUntT0Ch®e1maCO - 1705 17th Street ADDRESS: _ ='D•C� Suite 100 INSURER(S) AFFORDING COVERAGE NAICS Denver, CO 80202 INSURER A: WESTFIELD NATL INS CO 24120 INSURED INSURER IS: PINNACOL ASSURANCE 41190 Central Mechanical Inc INSURER C : 3774 Puritan Way INSURER D: INSURERE: Brie, CO 80516 INSURER F: COVFRAGFS CERTIFICATE NUMBER: 54009974 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. POLICY IR - TYPE OF INSURANCE -- I= §U D --- POLICY NUMBER MMIDDY EFF MMIDD EXP LTR LIMITS A Z COMMERCIAL GENERAL LIABILITY TRA0270666 04/01/18 04/01/19 EACH OCCURRENCE $ 1,000,000 DAMAOEEt7 CLAIMS -MADE I OCCUR PREMISES(Ea Cal : 500,000 JL PD Ded: $1, 000 MED EXP (Any one person) i 5,000 _ PERSONAL A ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 2,000,000 POLICY FXf _J ECT I X 1 LOC PRODUCTS -COMPIOPAGG f 2,000,000 OTHER i A AUTOMOBILE LIABILITY TRA0270666 _ 04/01/18 04/01/19 COMBINED SINGLE LIMIT Ea accident) i 1,000,000 BODILY INJURY (Per person) i X ANY AUTO OWNED - SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTYDAMAGE Per accident : = HIRED z NON -OWNED AUTOS ONLY AUTOS ONLY $ A Z UMBRELLALu6 % OCCUR TRA0270666 04/01/11 04/01/19 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAS _ CLAIMS -MADE - f DIED I ]C RETENTIONS 0- B WORKERS COMPENSATION 4071688 10/01/18 10/01/19 E STATUTE ERH- AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT f 1,000,000 ANYPROPRIETORIPARTNERIEXECUl1VE OFFICER/MEMBEREXCLUDED7 � IN A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I more apace Is required) CFRTIFICATF HOI nFR CANCEL[ATION RE: Contractors License. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 281 NorLh College Ave. AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins, CO 80522-0000 / USA © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2018sDm60 54009974 00 N W