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HomeMy WebLinkAbout117224 HORIZON MECHANICAL SOLUTIONS - INSURANCE CERTIFICATE (6)A� EN CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDMNY)
03/25/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOTAFFIRMATIVELY 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 poliey(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 an endorsement A statement on
this certificate does not confer rights _to the certificate holder. in lieu of such endorsemerd(s).
PRODUCER
NONE - Shannon Kammerer
Flood and Peterson
PHONE- (970) 356=0123 - FAx -(970) 330-1867
A/C No):
PO Box 578
E-MAIL : SKammerer@floodpeterson.com
ADDRESS
INSU S AFFORDING COVERAGE
NAIC0
Greeley CO 80632
INSURERA: Continental Casualty Company
20443
INSURED
INSURERB: Continental lnsurandeConpany
36289
Horizon Mechanical Solutions
INsuREPC. . PmracolAssuraln a
41190
Dba Horizon Sheet Metal, Inc
-- - -
INSURER I):- .
-- -
INSURER E :
126 Hemlock Street
INSURER F.:
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER: x4/1/20.21 Master REVISION NUMBER:
THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCE LISTED BELOW.HAVE BEEN JSSUED TO THE INSURED NAMED ABOVE FOR 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
Lm
- -ADUL
TYPE OF INSURANCE
IN
SU5H
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MM/DD
- --
LIMITS
X
COMMERCIALGENERALLIABILJTY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE ® OCCUR
PREMISE Eaeccurrence
E 00,000
MED EXR(Any one erson -
S. 5,000 -
_
PERSONAL S ADV INJURY
E 11000,000
A
6080463064
04/01/2020
04/01/2021
GEN'LAGGREGATE UMITAPPLIES PER:
GENERAL AGGREGATE
E 2,000,000
POLICY JECOT LOC
PRODUCTS-COMP/OPAGG
E 2,000,000
E
OTHER:
AUTOMOBILE
WIBIUTY
-
COMBINED SINGLE UMIT
Ea accdem
s 1,000,000
BODILY INJURY (Per person)
E
ANYAUTO
g
OWNED SCHEDULED
AUTOS ONLY AUTOS
6080463068
04/01/2020
04/01/2021
IX
BODILY INJURY (Per accident)
E
PROPERTY DAMAGE
Per dent)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
X
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$ 1(31000,000
..CLAIMS
AGGREGATE.
E 10,000,000
B
IXCEss LAB
-MADE
6080463071
04/01/2020
04/01/2021
DED I Nq RETENTION E 0
E _
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N.
ANYOFF PROPRIETOR/EXCLU R/EXECUTIVE
oFFICERMiEMeERIXcwoED7 �
fMandatory In NH)
NIA
4009379
-
04/01/2020
04/Ot/2021
PER OTH•
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE =EA EMPLOYEE
E 1,00"000-
If yes, describe under
DESCRIPTION OF OPERA71ONS below
-
-
..
E.L.. DISEASE-. POUCYUMIT.-.E.___
9000,000
DESCRIPTION OF OPERATIONS / LOCATIONS-1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be aftached H more space Is requiredl
Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named
insured.
City of Fort Collins
P.O. BOX 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES: BE CANCELLED BEFORE
THE.EXPIRATION.DATE.THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE.
Fort Collins
CO 80522
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ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD