HomeMy WebLinkAboutCANYON MECHANICAL INC - INSURANCE CERTIFICATE (3)A60MY CERTIFICATE OF LIABILITY INSURANCE
DATE (MUM
10/1112019
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(tes) 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
Flood and Peterson -
PO Box 578
Greeley CO 80632
CONTACTDiane DBuven,CISR
PHONE (970) 266-7111 FAX No c (970) 330-1867
ADDRESS: DDauven@floodpeterson.com -
INSURER(S) AFFORDING COVERAGE
HAIc 0
INSURER A: Pinnacol Assurance
41190
INSURED
Canyon Mechanical, Inc.
P O Box 327
Berthoud CO 80513
INSURER B :
INSURERC:
INSURER 0:
INSURER E :
INSURER F:
CnVFRAP.,FS CERTIFICATE NUMBER: CL19101131852 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. NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUB.IECT TO ALL THE TERMS,
EkCLUSIONSAND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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TYPE OF INSURANCE
Wen
_ _ - POUCYNUMSER
POLICY FFF
MYIDD YY
M�
MNCY EXP
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COYYERCULL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
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DAMAGE TO RMTEU
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PERSONAL 3ADV INJURY
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GEMLAGGREGATELIMRAPPLIESPER:
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OTHER
GENERALAGGREGATE
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PRODUCTS -COMPIOPAGG
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-
AUTCY0811.E
LIABILITY - -
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY ALTOS ONLY
-
SINGLE LIMIT
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BODILY INJURY (Per person)
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BODILY INJURY (Per accident)
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PROPERTY. DAMAGE
Per eoddent
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UMBRELLA LUIB
EXCESS LUIB
OCCUR
CLAIMS -MADE
.. _ .. _ - - _
_
EACH OCCURRENCE
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AGGREGATE
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DED I I RETENTION f
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A
WORKERS COMPENSAMN
AND EMPLOYERS' LIABILITYANY PROPRIETORIPARTNERIEXECUTVE YIN
OFFIC�EMBEREX�DEDT- ❑Y
(Mandatory In NH)
If yes. describe under
DESCRIPTION OFOPERATIONS below.
NIA
4001984
06l01l2019
06l01l2020
X STATUTE. E
EL EACH ACCIDENT
f 500,000
EL DISEASE -EA EMPLOYEE
f 500,000
E.L. DISEASE -.POLICY LIMB
f 500,ODO
DESCRIPnON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schadule, may be altathed I more apace is "P-Jred)
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE.POUCY PROVISIONS.
CITSaa-20T0 AL;uKU w.K. VKAI IUK. AU ngms reserveo.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD