HomeMy WebLinkAboutCANYON MECHANICAL INC - INSURANCE CERTIFICATE (4)A� ®I CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY)
05/26/2020 _
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 ISSUINGINSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE OLDER.
IMPORTANT- H 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
thiscertficate does not confer rights -to the certificate-holdel in lieu of such endorsement(a).
rRooucvi JAME'Diane DeuJen, CISR
Flood and Peterson PHONEEtIm (970)266-7111 F �: (970)330-1867
PO Box 578 DDauven®floodpeterson.com
INSURED
Canyon Mechanical, Inc.
PO Box 327
80632
I Berthoud C� 80513 I INSURER F:
rnvcoares r_FrrnVIr_ATF NIIMlRrm CL2052634853 RFVlctnN NIIMPIFw.
NAIc d
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 WTfH 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.
INSLTp
TYPE OF INSURANCE
�LICY NUMBER
POLICY EF
LICY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE TO RENTED
CLAIMS -MADE 0 OCCUR
PREMISES lEa occurrence
$
MED.EXP .one fxrrson
$
PERSONAL&ADV INJURY
$
.GEN'LAGGREGATE LIMITAPPLIES.PER:
GENERAL AGGREGATE
$
POLICY PRO-
JECT LOC
:PRODUCTS -COMPIOP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
-
SINGLE LIMIT
Ea ccident _. _
(Ea
$
BODILY INJURY(Per-person)
$
ANYAUTO
OWNED SCHEDULED
AUTOSONLY AUTOS
BODILY INJURY (Per accident)
- -- ---
$
PROPERTYDAMAGE
Per exIdent -
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
umbRELLAL)AB
OCCUR
.EACH000URRENCE _
$.
.AGGREGATE- _ _ _
$.
EXCESS LIAa
CLAIMS -MADE
-.
DED RETENTION $.
_ _ _ __.
$.
_
_
__
_
A
WORKERS COMPENSATION -
'ABILITY
AND EMPLOYERS' LYIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDEDT
(Mandatory. In NH)
NIA
4001984
--_ - _.
-.
O6/Ot/2020
O6/Ot/2021
PER OTH.;
- STATUTE ER -
---
E.L. EACH ACCIDENT
$_ 500,000
_
E.L. DISEASE. EA EMPLOYEE
$ 600,000
If Yes, describe under
DESCRIPTION.OPOPERATIONS below
- -
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional
Remarks Schedule, may be attached H faces spew Is required)
rCDTICIr ATC Y!N IMCD I rANrCI I ATInu
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVEpED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 580--
AUTHORIZED REPRESENTATIVE
Fort Collins CO
80522
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD