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HomeMy WebLinkAboutPHILLIPS PLUMBING AND MECHANICAL INC - INSURANCE CERTIFICATE (2)AFRO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/2019 Y) D7/3D/D,9 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 CONTACT Dana Stewart, CIC,CISR NAME: Flood and Peterson PHONE o Exit, (970) 266-7149 FAX No), (970) 506-6845 No, PO Box 578 E-MAIL ADDRESS: DStewart@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC4 Greeley CO 80632 INSURER A: Charter Oak Fire Insurance Company 25615 INSURED INSURERS: Travelers Property Casualty Company of America 25674 INSURERC: Pinnacol Assurance 41190 Phillips Plumbing And Mechanical, Inc. INSURDER 217 Versaw Court INSURER E : 1INSURERF: Berthoud CO 80513 Cr1VFRAr:FS CERTIFICATE Nt1MBER GL/AU/WCIXS x81112020 REVISION NUMBER_ 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 IN POLICYNUMBER MW MM/D LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR DT-CO-1 L672870-COF-1 9 08/01/2019 08/01/2020 EACH OCCURRENCE $ 1,000,000 PREMISES Ea accurrence $ 300,000 MED EXP (Arty one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENLAGGREGATE LIMIT APPLIES PER: POLICY ® JET LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 810-1 L655928-19-26-G 08/01I2019 08101/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acciaccident)$ PROPERTY DAMAGE Per accident $ E B x UMBRELLAUAB EXCESSLIAB OCCUR CLAIMS -MADE ZUP-91NO1905-19-NF 08/01/2019 08/01/2020 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 DED I X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In Nil) I' yes, desc'be under DESCRIPTION OF OPERATIONS below NIA 4059628 08/01/2019 08/01/2020 ER X STATUTE ERH EL EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT E 1, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) r FRTIFICATF HOI r)FR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Ft Collins CO 80522 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD