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HomeMy WebLinkAboutH&M MECHANICAL LLC - INSURANCE CERTIFICATE (2)ACORO0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 8/ 0019 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 I st American Insurance Agency 1610 Hover S[. ste 201 Longmont CO 80501 CONTACT NAME: DOUb' M0IItg0InCn PHONE rAx- AIC No Ext : 3037748810 (A/C. No): ADDRESS: doug@laia.com INSURER(S) AFFORDING COVERAGE NAIC e INSURERA: OWNERS INS CO 32700 INSURED H & M Mechanical LIc 108 E Emma St LAFAYE:TTE CO 80026-2223 INSURER B : INSURERC: INSURER D : INSURER E : INSURER F: COVFRAr;FB CFRTIFICATF NIIMRFR' 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 CONTRACTOR 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. LTR TYPE OF INSURANCE INSD 1NVD POLICY NUMBER (MMIDOIYYYY MMIDDNYYY) LIMITS .A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 74172995 08/01/2019 08/01/2020 EACH OCCURRENCE S 1,000,000 PREMISES (Ea =urrence) $ 300.000 MED EXP (Any one person) S 10,000 PERSONAL aADVINJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY aJECOT LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OPAGG $ 2.000,000 $ A AUTOMOBILE LIABILITY x ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 4811699702 08/01/2019 08/01/2020 (Ea accident) $ I .1100.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PRUP1,H I Y UAMAUEg (Per accident) x UMBRELLA LIAR EXCESS LAB x OCCUR CLAIMS -MADE UMB4811699703 08/01/2019 08/01/2020 EACH OCCURRENCE S AGGREGATE S 3,000,000 DED RETENTIONS b B ORKERS COMPENSATION %ND EMPLOYERS' LIABILITY YIN NY PROPRIETORIPARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? ❑N Mandatory in NH) It yes, describe under ESCRIPTION OF OPERATIONS below NIA 4211979 08/01/2019 08/01/2020 STATUTE ER ' E.L. EACH ACCIDENT $ 1,000.000 E.L. DISEASE - EA EMPLOYEE S 1.000.000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract �Mm I irluA I C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 I AUTHORIZED REPRESENTATIVE Ft. Collins H-�4-Skwhc d ('0.80522 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD