HomeMy WebLinkAboutH2O PLUMBING & HEATING INC - INSURANCE CERTIFICATE (2),acoRa® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY)
5/1/2d19
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 NAME. Scott Anderson, CIC
Commercial Risk Solutions E_._.-.
_ _---_.---- - -- FAX
6600 E Hampden Ave Ste 200 aHONExt): 303-996-7833 A/c No : 303-757-7719
Denver CO 80224 ADDARESS: Sanderson crsdenver.com
INSURER S AFFORDINGCOVERAGE N_AIC#
INSURER A: Travelers Prop Casualty of AM 25674
INSURED H2OPL-1 INSURER B : Travelers CaSualt -Ins Co of 19046
H2O Plumbing & Heating, Inc.-'_-- — -.Y --- -"
15552 E. Fremont Dr. A-104 INSURER C: Charter Oak Fire Insurance Co. 25615
Centennial CO 80112-6908 INSURER 0:
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NIIMRFR- 1143335R9 RFVISION NIIMRER-
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.
INSRLTS — TYPE OF INSURANCE N DL SU D POLICY NUMBER MMDD VCY YY M DD VYCY YY LIMITS
LTR
C
X COMMERCIALERAL LIABILITY
C04J336423
5/1/2019
5/1/2020 OCCURRENCE
�
$ 1,000.000
Z_--
] �CUR
- PEACH
REM T _pE W � @�
$ 300,000
MED EXP A,ny, one person)
$_ 10,000
_
--^—�
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 2,OD0,000
GENERAL AGGREGATE
_!A POLICY �i X l JECT L _Xj LOD
PRODUCTS - COMP/OP AGG
$ 2,000,000
$ Included
OTHER:
Limited Pollution
A
AUTOMOBILE LIABILITY
BA4J319402
5/1/2019
5/1/2020
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
r n
NON-OWNED$AUTOS ONLYAUTOS ONLY
X HIRED HIX
A
X UMBRELLA LIAB
X
OCCUR
CUP4J375713 5/l/2019 5/1/2020
EACH OCCURRENCE $ 2.000,000
_
EXCESS LIAB
CLAIMS -MADE
I
AGGREGATE $2,000,000
DED X i RETENTION $ In nnn
$
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNEFL'EXECUTIVE N
UB4J339911 5/1/2019 5/1/2020
i
X P TH.
TA R
$1,000,000
E.L. EACH ACCIDENT
OFFICER/MEMBEREXCLUDED?
IN/A
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$1,000.000
If yes, describe under
DESCRIPTION OF OPERATIONS below
_....._.._.
E.L.DISEASE - POLICY LIMIT
._-
$ 1,000,000
C Inland Marine
i
f
C04J336423 5/l/2019 5/1/2020 Rntd/Lsd Equip
100.000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
All policy terms, conditions and exclusions apply.
L;tK I It-II;A I t MULUtti I;ANI;tLLA 1 IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
300 LaPorte Avenue
Fort Collins CO 80521 AUTHORIZED REPRESENTATIVE
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The ACORD name and logo are registered marks of ACORD
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