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HomeMy WebLinkAboutHARPER MECHANICAL INC - INSURANCE CERTIFICATEHARPE-2 OP ID: B3 ACOROT CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) TE(MM/ DIYY P018 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 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200(A/C,No Fort Collins, CO 80525 House Account NAME CT House Account PHONE FAX E,R :970-482-7747 A/c No): 970-484-4165 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Westfield Insurance Company 24112 INSURED Harper Mechanical, Inc. INSURER B : Pinnacol Assurance Company 41190 Attn: Ashley Richards 4604 Bush Mills Ave INSURERC: Evans, CO 80634 INSURER D : INSURER E : 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. EXIP INSR TYPE OF INSURANCE ADDL UB pOL(CY NUMBER MM/DDNYYY FF MM/LDDY/YI'YY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE XI OCCUR X CWP5500473 10/01/2018 10/01/2019 DREMISES AMAGET RENTED PEa occurrence $ 500�00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben. $ 25,00 OTHER: AUTOMOBILE LIABILITY COEaMBINED accident SINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) A X ANY AUTO CWP5500473 10/01/2018 10/01/2019 $ BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS $ PROPERTY DAMAGE Per accident NON -OWNED HIRED AUTOS I AUTOS $ --- _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 A EXCESS LIAB CLAIMS -MADE CWP5500473 10/01/2018 10/01/2019 DED I X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 4169725 12/01/2017.12/01/2018 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CITYFC1 City of Fort Collins 281 N. College Ave Fort Collins, CO 80522 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 House Account © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD