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HomeMy WebLinkAboutINNOVATIVE MECHANICAL SOLUTIONS INC - INSURANCE CERTIFICATE (2)ACCO V CERTIFICATE OF LIABILITY INSURANCE DAT3/13/ 620� 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. If SUBROGATION IS WAIVED, subject.to the teens 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 eildorsement(s). PRODUCER _ - - - - Madison Insurance Group 600 South Cherry St, Ste 900 Denver CO 80246 NAME: Karole Peters PHONE FAX ac No Ext : 3033220800 (AIC, Nei, 3033220874. ADDRESS: kp�eters@pladisoninsurance.net . _ _ ,INSURER(S) AFFORDING COVERAGE NAIC If INSURER A: STATE AUTO 25127 INSURED Innovative Mechanical Solutions, Inc. 9669 Havana St Henderson CO 80640 INSURER B : PI_NNACCIUASSURA_NCE COMPANY 41190 INSURER C : INSURER D : INSURER E: INSURERF: nn.2nw n_ee ^M0V1C1^A7C ul lueeo. RFVISIr1N 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAI-THE INS NCE AFFORDED BY THE POLICIESDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, N, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI S HOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD INVD POLICY NUMBER MMIDDNYYY) (MM/DD LIMITS A COMMERCIAL GENERAL LU181LITY CLAIMS -MADE ©OCCUR Blkt Additional Insured, BOP2934567 04/01/2020 04/01/2021 _- EACH OCCURRENCE $ 1,OOQ000 PREMISES Ea occurrence $-100,000 MED EXP (Any one person) $ 51000 C Blkt Waiver of_Subrogir on_ PERSONAL a ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY PRO © PRO-JECT LOC ROTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO OWNED.. SCHEDULED AUTOS ONLY AUTOS Ve/ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY XvAl Batt WOs BAP24688"70 04/Ol/2020 04/01/202{ (Eaacciderd)- - $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accitlen0 $ $ A A UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE CXS2147447 04/01/2020 04/01/2021 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,600,000 DED RETENTION $ $ B ORKERS COMPENSATION - D EMPLOYERS LIABILITY Y PROPRIETOR/PARTNER/EXECUTNE YIN FFICERIMEMBER EXCLUDED? ❑N Mandatory in NH) yes, describe under ESCRIPTION OF OPERATIONS below NIA 4163586 _ 04/01/2020 04/01/2021 - STATUTE ER E.L. EACH ACCIDENT $ 1-,000,000 E.L. DISEASE - EA EMPLOYEE $ 1-,600,000 E.L. DISEASE - POLICY LIMIT $ 1-,600,000 A Installation Floater Leased and Rented Equipment Prnnerry of Othr,c BOP2934567 04/01/2020 04/01/2021 Installation Floater Leased and Rented Equil Property of Others $100,000 $25,000 $75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, my be attached if. more space la requlmd) w�srmrn•r� unr non CANCQI I ATIr1N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason St. AUTHORIZED REPRESENTATIVE FCeN»Ie p�:s. Fort Collins CO 80521 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD