The URL can be used to link to this page

Home My WebLink AboutHAHN PLUMBING AND HEATING INC - INSURANCE CERTIFICATE (3)A� Ro CERTIFICATE OF LIABILITY INSURANCE DATE T ( /2019Y) 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 GUNIAGI NAME: Karole Peters Insurance Agency, Inc. PHOEEwing-Leavitt A/C. o.Ext: (970)679-7355 A/c, NO: (866)237-2178 4090 Clydesdale Parkway E-MAIL karole-peters@leavitt.com ADDRESS: Suite 101 INSURERS AFFORDING COVERAGE NAIC # Loveland CO 80538 INSURERA:Acuity A Mutual Insurance Company 14184 INSURED INSURERB:Pinnacol Assurance 41190 Hahn Plumbing and Heating Inc. INSURER C: P O Box 1924 INSURER D INSURER E : Fort Collins CO 80522 INSURER F: UUVtFlAlatS CtFIIIFIUAIln IIILIMEif-Fi -dU ALL Pl ICIf1N NIIMLiCC- 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXOCCUR ZB0205 7/l/2019 7/l/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 250, 000 X MED EXP (Any one person) $ 10,000 Blkt Additional Insured X Blkt Waiver of Subro PERSONAL &ADV INJURY $ Included GENT AGGREGATE LIMIT APPLIES PER: POLICY E jECT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OPAGG $ 3,000,000 $ OTHER: I 74 AUTOMOBILE LIABILITY ZB0205 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000, 000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS (Per accident) BODILY INJURY Pi $ NON -OWNED HIRED AUTO S X AUTOS X PROPERTY DAMAGE Per accident $ X $ Blkt Al X BIkt WOS A UMBRELLA LIAR N OCCUR ZB0205 7/1/2019 7/l/2020 EACH OCCURRENCE $ 11000,000 �{ AGGREGATE $ 11000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A 4059219 Blanket Waiver of Subrogation 7/1/2019 7/1/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500, 000 E.L. DISEASE -EA EMPLOYEE $ 500,000 (Mandatory in NH) If yes, describe under Included E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below A Contactors' Equipment Z50205 7/1/2019 7/l/2020 InFloater $50,000 Equipment $ 5 0, 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) t,ttl I It-It;A I t rIUL.UtH CANCELLATION City of Fort Collins Planning Development & Transportation P.O. Box 580 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 e Peters/KAPETE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)