HomeMy WebLinkAboutANYTIME MECHANICAL LLC - INSURANCE CERTIFICATEACOR CERTIFICATE OF LIABILITY INSURANCE onrE /26/2019 )
�/ OB26/2019
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 riahts to the certificate holder in lieu of such endorsement(s).
PRODUCER
UUNIAUI
NAME:
Kathy Werner
Moody Insurance Agency, Inc.
Moody
AICNNo
(303) 824-6600
FAX (303) 370-0118
Ext
:
No:
8055 East Tufts Avenue
E-MAIL
kathy.wemer@moodyins.com
ADDRESS:
Suite 1000
INSURER(S) AFFORDING COVERAGE
NAIC #
Denver
CO 80237
INSURERA:
Westfield Insurance Company
24112
INSURED
,ue„o.o a.
Pinnacol Assurance
41190
Anytime Mechanical, LLC INSURER C :
9070 Marshall Ct. INSURER D :
INSURER E :
Westminster CO 80031 INSURER F:
COVERAGES CERTIFICATE NUMBER: 19-20 Master 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 MAYBE 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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDDIYY'YY
MMIDDNYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE x_ OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
S 500,000
MED EXP (Any one person)
S 5,000
PERSONAL B ADV INJURY
$ 1,000,000
A
CWP7844631
08/21/2019
08/21/2020
GEN'L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000.000
POLICY [g jE LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
s 1,000,000
BODILY INJURY (Per person)
s
X ANYAUTO
A
OWNED SACHEDULED
AUTOS ONLY UTOS
CWP7844631
08/21I2019
08121l2020
BODILY INJURY (Per acciaccident)S
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 5.000,000
AGGREGATE
$ 5,000,000
A
EXCESS LIAR
CLAIMS -MADE
CWP7844631
08/21/2019
08/21/2020
DED I X1 RETENTIONS 0
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
N/A
4196007
10/01/2018
10/01/2019
X1 STATUTE I EE
E.L EACH ACCIDENT
S 1,000,000
E. L. DISEASE - EA EMPLOYEE
S 1,000,000
If yes, descnbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
$
Limit
$30,000
A
Leased/Rented Equip
CWP7844631
08/21/2019
08/21/2020
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
300 LaPorte Ave.
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
V�(1c V W)/a,(/oZ„
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD