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Home My WebLink AboutHAHN PLUMBING AND HEATING INC - INSURANCE CERTIFICATE (4)ACORE) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/26/2019 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 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 Ewing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway NAME: Karole Peters HONE Ext: (970)679-7355 A/c, NO: (866)237-3179 ADOREss karole-peters@leavitt.com Suite 101 Loveland CO 80538 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Acuity A Mutual Insurance Company 14184 INSURED INSURERB:Pinnacol Assurance 41190 Hahn Plumbing and Heating Inc. INSURER C: P 0 BOX 1924 INSURER D : INSURER E : Fort Collins CO 80522 INSURERF: 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR ZB0205 7/1/2019 7/1/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE 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 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY M ECT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OPAGG $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY ZB0205 7/1/2019 7/1/2020 EO aBINEDI51NGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident) ccident $ X $ Blkt AI X BlktWOS A UMBRELLA LAB X OCCUR ZB0205 7/1/2019 7/1/2020 EACH OCCURRENCE $ 1,000,000 X4EXCESS AGGREGATE $ 1,000,000 LABCLAIMS-MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? N/A 4059219 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 ZB0205 7/1/2019 7/1/2020 Installation Floater $50,000 Leased/Rented Equipment $ 5 0, 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) �n t tnt.M t c nvLucn GANGELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kaye Mathes PO BOX 580 AUTHORIZED REPRESENTATIVE Fort I Collins, CO 80522 / Karole Peters KAPETE no 1AAR-9Md GrnRn rnRPr1RATIr)NI All rinhtc rccn..,n,4 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)