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HomeMy WebLinkAboutTRA MAR MECHANICAL INC - INSURANCE CERTIFICATETRAMA-2
ACORD CERTIFICATE OF LIABILITY INSURANCE FDATE 06/241201 YY)
06/24/2019
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 endorsements .
PRODUCER
970-482-7747 CONTA
NA E:cr Karen E. Siwek, CPA
Brown & Brown Inc PHONE 970-482-7747 FAX 970-484-4165
4532 Boardwalk Dr, Suite 200 (A/C, No, Ext►: (A/C, No):
Fort Collins, CO 80525 E-MAIL certi ICateS bbcolorado.com
DDRE .
Karen E. Siwek, CPA
INSURED Tra Mar Mechanical, Inc.
Barela Holdings, LLC
Western Comfort Systems, Inc.
217 Racquette Drive
Suite 8, 9 & 15
Fort Collins, CO 80524
A: Westfield Insurance Company 24112
B : Pinnacol Assurance Company 41190
C : Westchester Surplus Lines Ins. 10172
D:
Y`r'1VCDAnl=Q r =DTICIf ATC All 1111i RFVlglr1N MI IMRPR•
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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRA
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE [X] OCCUR
CWP9776811
07/01/2019
07/01/2020
DAMAGE TaEaO a QQc rr n
$ 500,000
MED EXP (Any oneperson)
5,000
PERSONAL & ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ❑X PR� �X LOC
E
GENERAL AGGREGATE
2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
Emp Ben.
1,000,000
OTHER
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY Perperson)
X ANY AUTO
CWP97761111
07/01/2019
07/01/2020
BODILY INJURY Per accident
OWNED SCHEDULED
AUTOS ONLY AUTOS
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
A
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LIAB
CLAIMS -MADE
CWP9776811
07/01/2019
07/01/2020
DED I X I RETENTION $
B
WORKERS COMPENSATION
X PER OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4053723 07/01/2019
07/01/2020
E.L. EACH ACCIDENT
1,000,000
$
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N / A
E.L. DISEASE - EA EMPLOYEEi
$ 1,000,000
E L DISEASE - POLICY LIMIT
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
I
C
Pollution Liab
G7116991101 08/15/2018' 08/15/2019
Occurrenc
1,000,000
Aggregate
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Proof of Insurance
CITYFC8
City of Fort Collins
300 LaPorte Ave
Fort Collins, CO 80521
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
Karen E. Siwek, CPA
ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD