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Home My WebLink AboutBERSHINSKY PLUMBING & HEATING INC - INSURANCE CERTIFICATE-� ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 06103/2019 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 BSH Insurance Agency CONTACT House Producer NAME: PHONE (g70) 568-9475 A C No): (970) 232-6516 A/C No Ext : E-MAIL ADDRESS: 8017 1 st Street INSURER(S) AFFORDING COVERAGE NAIC # P 0 BOX 456 Wellington CO 80549 INSURERA: OWNERS 32700 INSURED INSURER B : Auto -Owners 18988 INSURERC: Bershinsky Plumbing & Heating Inc INSURER D : 4562 Denrose Ct Ste 1 INSURER E : INSURER F Fort Collins CO 80524-8364 GOVtKAtJtJ I,CRIIrIVMIL I�v��u�.�. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLNMS. INSR LTR TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR ADDLSUEIR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS EACH OCCURRENCE $ 1,000,000 TED REMISES Eaoc Pcurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 A 74796861 06/03/2019 06/03/2020 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 2.000,000 Contractors E&O $ 50,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ A B OWNED x SCHEDULED AUTOS ONLY /� AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X 19 X UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE 5179687000 5179686100 06/03/2019 06/03/2019 06/03/2020 06/03/2020 PROPERTY DAMAGE Per accident)$ Uninsured motorist BI Sri.. O EACH OCCURRENCE $ 1,000,000 3,000,000 $ AGGREGATE $ 3,000,000 PER OTH- STATUTE ER $ RETENTION $ 10,000 WORKERS COMPENSATION E.L.EACHACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE F7 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RTIFICATE CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF TI;E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .-......n - I^+ ^I1 ^M ATlr%kl All 1--nli ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD