HomeMy WebLinkAboutAPR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (3)ACORN®
�.� CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/26i2018
I
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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
PHONE FAx
A/C No Ext : 888-333-4949 A/c No : 507 446 4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 330-652-9
INSURER B:
APR PLUMBING & HEATING INC, APR CONTRACTING
INSURER C:
PO BOX 690
BERTHOUD, CO 80513-0690
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2 REVISION NUMBER: 7
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
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMlDDlYYYY
POLICY EXP
MMIDDlYYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
BUSINESS OWNER'S LIABILITY
N
N
9149859
03/01/2018
03/01/2019
EACH OCCURRENCE
$1,000,000
DAM AGE ToRENTED
PREMISES Ea occurrence)
$100,000
X
MED EXP (Any one person)
GEN'L
X
PERSONAL 8 ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO ❑ LOC
JECT
OTHER:
GENERAL AGGREGATE
$2 000,000
PRODUCTS - COMP/OP AGG
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED AUTOS ONLY SCHEDULED
AUTOS
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
N
N
9116882
03/01/2018
03/01/2019
COMBINED SINGLE LIMIT
Ea acciden
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED I I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORlPARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N ! A
N
9149860
03/01/2018
03/01/2019
X
PER STATUTE
OTH-
ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
E.L DISEASE -POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
CFRTIFICATF 1401 DFR
330-652-9
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
ACORD 25 (2016/03) The ACORC