HomeMy WebLinkAbout117224 HORIZON MECHANICAL SOLUTIONS - INSURANCE CERTIFICATE (7)A� 0® CERTIFICATE OF LIABILITY INSURANCE
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03/25/2020
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 ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the Certificate holder IS an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
H 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 endorsemem(s).
PRODUCER
CONTACTShannon Kammerer
Flood and Peterson
PHONE (970) 356-0123 No): (970) 330-1867
PO Box 578
E-MAIL- --_ p -_
ADDRESS: SKammerel' flood eterson.Dom
INSURERS) AFFORDING COVERAGE
.NAICM_ _
INSURERA: Continental Casualty Company
20443
Greeley CO 80632
INSURED
INSURER B : Continental Insurance Company
35289
Horizon Mechanical Solutions
INSURER c : Pinnacol Assurance
41190
INSURER D :
Dba Horizon Sheet Metal, Inc
.INSURER E:
126 Hemlock Street
INSURER F :
Fort Collins CO 80524
COVERAGES CERTIFICATE NIJMRER- x4/1/20-21 Master REVISION NIIMRFR-
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 WITH RESPECTTO 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
WIL
INSD
bUtffil
WVD
POUCYNUMBER
POLICY EFF
MMIDDIYYYY
POLICY EX
MMIDDRYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
NTFD
PREMISES Ee occurrence
$ 300,000
MED EXP (Any one person)
E 5,000
PERSONAL B ADV INJURY
$ 1,000,000
A
Y
6080463054
04/01/2020
04/01/2021
GEN'LAGGREGATE LIMITAPER:
.GENERALAGGREGATE.
$ 2,000,000
PRO-PPLIES
POLICY ❑X Ea LOC
PRODUCTS-COMP/OPAGG
E 2;000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANYAUTO
g
OWNED SCHEDULED
6080463068
04/01/2020
04/01/2021
-
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
PROPERTY DAMAGE
' de
Per accint
E-_--
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY(par.
x
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
B
EXCESS LIAB
CLAIMS -MADE.
6080463071
04/01/2020
04/01/2021
DED
I X RETENTION $ 0
1
1
1$
WORKERS COMPENSATION
> PER OTH-
AND EMPLOYERS' LIABILITY YIN
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000_000
- - - -
C
ANY PROPRIETORIPARTNER/EXECUTIVE
NIA
4009379
04/01/2020
04/01/2021
OFFICER/MEMBER EXCLUDED?
(Mandatery in NH) _ -
E.L. DISEASE- EA EMPLOYEE
S 1,000.000
If yes, desatbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE. POLICY UMIT
E 1,000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS ./VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more apace is required)
Hydro Project#: Misc - Horsetooth
Horsetooth Alternative Mier Supply Design
DWRF Carbon Addition Phase 1
City of Fort Collins is included as Additional Insured as required by writtencontract with respects to liability arising out of work performed by the named
insured.
City of Fort Collins
700 Wood Street
SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCEWITH THE POLICY PROVISIONS.
Fort Collins
CO 80521
01988-2016 ACORD CORPORATION. All riahts reserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD