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HomeMy WebLinkAboutMISTER B'S HVAC INC - INSURANCE CERTIFICATEA(� �® CERTIFICATE OF LIABILITY INSURANCE DA 0/10602019 YI 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 corder rights to the certificate holder In lieu of such endarsement s . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAMTIICT CLIENT CONTACT CENTER IAI.PHONE.N. Fat , 888-3334949 Fn c No ; 507-646-G664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURI I AFFORDING COVERAGE NAIC # _ INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 342-538-6 INSURER B: MISTER B'S HVAC INC INSURER C: PO BOX 21756 INSURER D: CHEYENNE, WY 82003-7045 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 49 REVISION NUMBER: 0 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 DL INSR SUBR WLD POLICY NUMBER POLICY EFF MMIDDIVYYY POLICY EXP MMIDDIYYYY LIMITS A COMMERGAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR BUSINESS OWNER'S LIABILITY N N 9246994 09/08/2019 D9/08/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTEDPREMISES (E. nored) $100,000 X MED EXP (Any one person) G X PERSONAL& ADV INJURY $1,000,000 N'L AOGRIIG UMIT APPLIES PER: POLICY LJECT 1:1LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS- COMPIOP ADD $2,000.000 q I AUTOMOBILE LIABILITY I X ANY "TO ~� SCHEDULED owHED alms ONLY �I AUTOS HIRED AUTOS ONLY NOWOWNEO AUTOS ONLY N N 9246985 09/08/2019 09/08/2020 COMBINED SINGLE UNIT ff,ecel en $1,000,ODO BODILY INJURY IPer Person) BODILY INJURY IPe, emWanQ PROPERTY DAMAGE - en A X UMBRELLA LIAR X OCCUR EXCESS LIAR CLAIMS -MADE N N 9246SB6 09/08/2019 09/08/2020 EACH OCCURRENCE $1,000,ODC AGGREOATE $1,000,000 I DED RETENTION A AND EMPLOYERS' LIABILITY Y! MY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' IMaMAWry in NMI IT yea, describe under DESCRIPTION OF OPERATIONS below NIA N 9246984 09/08/2019 09/08/2020 PER STATUTE ER E.L EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000,ODO E.L DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. AddibWnl Rewouts SO,edule, may W aeeoadd It more apeee is relpdred) STOP -GAP (EMPLOYER'S LIABILITY) COVERED STATE(S) WV 342-53" CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 490 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 1G 441 m 198R-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016703) The ACORD name and logo are registered marks of ACORD