HomeMy WebLinkAbout414575 MAXIMUM PAINTING LLC - INSURANCE CERTIFICATE (3)ACORO CERTIFICATE OF LIABILITY INSURANCE �`„`„8no,s,"
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT C' STITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL IN URED; the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, sub ect to the terms and con�dl4lons of the II may require an endorsement A statement on
J po cy, certain policies
this certificate does not confer rights to the certificate holder in lieu of such endorsement($).
PRODUCER CONTACTShannon Kammerer
Flood and Peterson PHONE Etj:(970) 356-0123 A% NO (970)-330-1867
OAIL DREss: SKammerer(ci;floodpeterson.corn
PO Box 578 A
INSU S AFFORDING COVERAGE NAIL 0
Greeley Cp 80632 INSURERA: Westfield Insurance Company 24112
INSURED INSURER S : Plnnacol Assurance 41190
Maximum Painting, LLC INSURERC:
412 S. Howes St., Ste. C INSURER D :
INSURER E :
Fort Collins CO 80521 INSURERF-:
ww.,rw...�n w�sT, r,n aTe a,,raaftenl r11/1110 qn Maetnr omna nM t• viucco.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICYPERIOD
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.
.. .YID
IOUCYEXP
�TR
TYPE OF INSURANCE
!POLICY
NUMBER-__
MWO CY EFF
LIMRs
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
DAMAGE To RERTED
PREMISES Me occurrence)
$ 500,000
MED.EXP (Any one arson
$ 5,000
A
TRA3290427
12/01/2019
12l01/2020
PERSONAL&ADVINJURY
$ 1,000,000
GENLAGGREGATE LIMIT APPLIES PER:
POLICY ® EJEJ CT LOC
OTHER:
_
_ _ _
GENERAL AGGREGATE
$ 2,000,000
.PRODUCTS-COMP/OP AGG
$ 2.000,000
Employee Benefits
$ 1-,000,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUfOS ONLY AUTOS ONLY
TRA3290427
12/01/2019
12/01/2020
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
" Per accident
$ -
Underinsured motorist
$` 1,000,000
---
UMBRELL LA IIAB
OCCUR
I
.EACH OCCURRENCE
$ 5,000,000
A
ERCESSLIAB
CLAIMS -MADE
TRA3290p27
12/01/2019
12/01/2020
AGGREGATE.
$ 5,000,000
DED RETENTION $ 0
$
I
B
WORKERS COMPENSATION
AND EMPLOYERS! LIABILITY LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTNE a
OFFICER/MEMBEREXCLUDED?
(Mandator NHl_
NIA
4104129
OS/01/2019
05l01/2020
PR TH-
- -STATUTE.. ER
. E.L. EACH ACCIDENT
$ 1,000,000
E.LDISEASE -EAEMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
If yes, deacdbe untler
DESCRIPTION OF OPERATIONS below
I
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 107; Additloriaj
Remarks Schedule, me*be attached Ifmore apace Is ragWred)
Certificate bolder Is included as Additional Insured as required by written
contract with respects to liability arising out of work performed by the named
insured, respects to the Auto Liability and General Liability policies.
nenTlern ATe u^r nee I PAMPet 1 ATInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNEREI),IN
City of Fort Collins
ACCORDANCE: WITH THE POLICY PROVISIONS.
P.O. Box 580
AUTHORIZED REPRESENTATIVE - - -
-
Fort Collins CO
80522
v-raoo-wtaau.vrtvA.ancrvrwnvn. nunynur<rae,reu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD