HomeMy WebLinkAboutAMERICAN MECHANICAL SERVICES OF DENVER LLC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDnYYY)
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: Ifthe certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 $in endorsement A statement on
this certificate does not confer Nahts to the certificate holder In lieu of such endorsement(s).
PRODUCER I w^E.
NaME7, Jennifer Carroll
M&T Insurance Agency; Inc. PHONE FAx
41 University Drive, Ste. 405 (ivc:No.Ex,. 215-504-1219 lac Nm:21
Newtown PA 18940 ADDRESS: Servit:05mtb.com
American Mechanical Services of Denver, LLC
Branch #9307 INSURERC:
6810 S. Tucson Way INSURERD:
Centennial CO 80112 INSURER E:
COVERAGES CERTIFICATE NUMBER-'' 1336769298 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR 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
DDL
1 p
SUOR
POLICYNUMBER
I -
POLICCY EFF
MWDDlY1'
POLICcY EXP
MUM IYYY
-
.UNTS
A
X
COMMERGALGENERALLIABILITY
Y
Y
MWZY312169
3/1/2020
3/1/2021
EACHOCCURRENCE
$1.000,000
CLAIMS -MADE � OCCUR
_7occur
DAMAGE TO
PREMISES Ea rence
$500,000
X
MED EXP (Any one parson)
$10.000
Contractual Liab
X
No XCU Exclusion
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY ] JEST LOC
PRODUCTS-COMP/OP AGO
$2006,060
$
OTHER:
A
AUTOMOBILE LIABILITY
Y
Y
MWT8312168
3/1/2020
371/2021
gIBINeDiSINGLELIMiT
g1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
IX
BODILY INJURY (Per accident)
$.
PROPERTY DAMAGE
Per accident
$
NON -OWNED
AUTOS ONLY AUTOS ONLY
X HIRED NCOLL50ODed.
$
COMP.200 Detl
c
X
umaaElinLike
X
OCCUR
Y
Y
ZUP-71NO9
35-20-NF
6/1/2020
311/2021
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10,000,000
EXCESS UAB
CLAIMS -MADE
DEO RETENTION $ n
s FOLLOWS FORM
A
WORKERSCOMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANYPROPRIETOR/PARTNER/D(ECUTIVE
Y
MWC31217b
3/1/2020
3/1/2621
- .TH
IX STAT TE OE-
R `
-
E.L. EACH ACCIDENT
$1,000,000
F—N
OFFICERIMEMBEREXCLUDED4
N/A
(Mandatory In NH)
E.L. DISEASE- EA EMPLOYEE
$1:000, 000
II Yvs do;Crilie urber
DESCRIPTION OF OPERATIONS below.
E.L. DISEASE- POLICY LIMIT
$.1.000,000
B
Propeerrryty/installFloater
L.eased]Ranted Equipment
MAC159426502
3/1/2020
3/1/2021
All Risk
Any One Item
$1,000,000
$100,000
OESCRIPnON OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. AddRionei
Ralmrks Schedule, may be attached H more space Is required)
Continental Insurance Co. NAIC #35289. Policy #6080551764 6/�/20134/21
Excess Over Umbrella Limit: $10,000,000 / Aggregate: $10,000,000.
Commercial General Liability Policy Endorsements:
CG2010-0413-Additional Insured -Owners, Lessees or Contractors
CG2037-0413-Additional Insured -Owners, Lessees or ContractoSs-Completed
-Scheduled Person or Organization;
Operations;
CG2404-0509-Waiver of Transfer of Rights of Recovery Against
Automobile Liability Policy Endorsements:
CA2048-10137Designated Insured for Covered Auto Liability Co
CA0444-1013-Waiver of Transfer of Rights of Recovery Against Others
Others To Us;
erage;
To Us (Waiver of Subrogation);
See Attached...
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
281 N. College Ave., PO Box 580
Fort Collins CO 80526
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/O3) The ACORD name and logo are registered marks of ACORD
2• of 10 567
AGENCY CUSTOMER ID: AMERI17
LOC #:
ACO V
L-----
ADDITIONAL
REMARKS SCHEDULE
Page 1 of 1_
_.
.AGENCY
_ _
NAMED INSURED
M&T Insurance Agency, Inc.
American Mechanical Services of Denver, LLC
Branch #9307
6810 S. Tucson Way
POUCY NUMBER
Centennial CO 80112
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
25 rnpu rm c• CERTIFICATE OF LIABILITY I
From Others
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
3' of 10 567