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HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE1'5260028002 DATE (MMIDDIYYYY) AC 40 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 endorsement(s). PRODUCER 1-303-534-4567 CONTACT NAME: IRA, Inc. - Colorado Division PHONE FAX (LVC. Ns. Ext1: E-MAIL DenACCOUntTechs0�maco can 1705 17th Street ADDRESS: ='D• Suite 100 _ _ _ _INSURERS AFFORDING COVERAGE NAIC 11 Denver, CO 80202 INSURER A:WESTFIELD NATL INS CO 24120 INSURED INSU_RERB: PINNACOL A83QRANCB 41190 Central Mechanical Inc INSURER C 3774 Puritan Way l Erie, CO 00516 l INSURERF: 1 l COVERAGES CERTIFICATE NUMBER: 54009973 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. LT ILT R R TYPE OF INSURANCE I DL SUER POLICY NUMBER TRA0270666 I MMIDDYYYY 04/01/18 EXP MMIDD 04/01/19 -- -- -- LIMrr3 EACHOCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR DA E T RENT PREMISES Ea occurrence PREMI f 500, 000 X MED EXP (Any one person) -- - $ 5,000 PD Dad: $1, 000 PERSONAL 8 ADV INJURY f 1,000,000 - AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE GEN'L $ 2,000,000 POLICY l X, JEC Cl LOC f 2, 000, 000 PRODUCTS - COMP/OP AGG OTHERf A AUTOMOBILELIABILITY TRA0270666 04/01/18 04/01/19 COMBI�NEEDSINGLE LIMIT BII fEs accident) i 1,000,000 BODILY INJURY (Per person) X ANY AUTO _ OWNED - SCHEDULED AUTOS ONLY AUTOS i BODILY INJURY (Per accident) PROPERTYDAMAGE accident t - X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY YPar $ A X UMBRELLA LIAO X OCCUR TRA0270666 04/01/18 04/01/19 EACH OCCURRENCE $ 1,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE f 1,000,000 DIED I X RETENTION 9 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN-_._-- ANYPROPRIETORIPARTNERIEXECUTIVE � OFFICER/MEMBEREXCLUDED? (Mandatory In NH) NIA 4071688 10/01/18 10/Ol/19 H X �ATUTE ER E.L. EACH ACCIDENT i 1,000,000 E.L. DISEASE - EA EMPLOYEE - ---- i 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT i 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION RE: Contractors license. City of Fort Collins 281 North College Ave. P.O. Box 580 Fort Collins, CO 80522-0000 ACORD 25 (2016/03) 2018spm60 54009973 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 USA /& ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r- CA cc r S