HomeMy WebLinkAboutHOMETOWN HEATING & AIR INC DBA WELZIG MECHANICAL - INSURANCE CERTIFICATEat
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A` it CERTIFICATE OF LIABILITY INSURANCE DATg/g1201grvr)
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: It 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
TrueNorth Companies. L.C.
275 S Main Ste 100
Longmont CO 80501
INSURED
Hometown Heating & Air. Inc dba Welzig Mechanical,
1831 Boston Avenue, # D
Longmont CO 80501
' Pat Deaver
INSURER D :
COVERAGES CERTIFICATE NUMBER: 1138259340 REVISION NUMBER:
41190
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. ..__.aDDI' —�. .—_— _.POIL��_yy. EFF�. POLICY E%P
LTR TYPE OF INSURANCE ry POLICYNUMBER UWRYY DlYY LIMITS
A
X
COMMERCIALGMEIRA�LLLMNLRY
CLAIMS -MADE iL ^ I OCCUR
74432747 8192019
8I92020
I
EACHOCCURRENCE
DAMAGE TO RENTED
PPEMISEnxcurrene
MED E%P Any one arson)
_PERSONAL 8 ADV INJURY
GENERAL AGGREGATE
._PRODUCTS - COMPIOP AGG
$1,000,000
5300,0_00__
$10,000
$1.000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY X JEC C LOC
OTHER:
52,000,000
_
$2.000,000
$
A
AUTOMOMLEUABILRY
)C ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED �( NON -OWNED
AUTOS ONLY AUTOS ONLY
5043274700
W92019
8192020
"pMBINEDSINGLELIMIT
�+44_^L
C+�!
S1,000,000
S
BODILY INJURY (Per person)
BODILY INJURY (Par acadentl
S
PROPERTY DAMAGE
Per accldeMl
$
$
tR46RELLA UAB
EXCP�B DAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DED RETENTION$
$
R WORKERS COMPENSATION � 4141577 811/2019
AND EMPLOYERS' LIABILITY V;N
OFFICE IMEMB R PARTNERIE%ECUTIVE N r A
OFFICER�MEMBEREXCIUDED?
(Mandatory In NH)
II yes, dsscrloe under
DESCRIPTION OF OPERATIONS below
8/12020
PER OTH.
STATUTE ER
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
E.L. DISEASE- POLICY LIMIT
$ 500.000
DESCRIPTION OF OPERATIONS r LOCATIONS ' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
CERTIFICATE HOLDER 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
Fort Collins CO 80526 AUTHORIZED REPRESENTATIVE
USA y
,Lt11� Gr %��L11{�oa'L
ACORD 25 (2016/03)
0) 1988-2015 ACORD CORPORATION. All riahts reserved
The ACORD name and logo are registered marks of ACORD
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