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HomeMy WebLinkAboutH20 PLUMBING & HEATING INC - INSURANCE CERTIFICATEH2OPL-1 OP ID: SJR ,4cofzo CERTIFICATE OF LIABILITY INSURANCE D04/27ATE /2015 ) 0412712015 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 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 endorsements . PRODUCER CRS Insurance Brokerage Commercial Risk Solutions DBA CONTANAME: Nathan M. Fonseca PHONE FAX AC.No FAX A/c No); 303-757-7719 6600 E. Hampden Ave. Denver, CO 80224 E-MAJL ADDRESS: Nathan M. Fonseca INSURERS AFFORDING COVERAGE NAIL e INSURER A: Auto -Owners Insurance 18988 INSURED H2O Plumbing & Heating, Inc. INSURERB: Pinnacol Assurance 15552 E. Fremont Dr. A-104 Centennial, CO 80112-6908 INSURER C: INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATF NIIMRFR- RcvlslnN MI lluRpaz• 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 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 rypE OF INSURANCE DL POLICYNUMBER POLICY EFF MM/DD POLICY EXP IMM/DDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR i74361691 05/01/2015 05/01/2016 EACH OCCURRENCE S 1,000,00 PREMISES Eao=xmimce S 300,00 APED EXP (Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY � JET LOC GENERAL AGGREGATE S 2,000,0 PRODUCTS-COMP/OP AGG S 2,000,0 $ OTHER AUTOMOBILE LJAORM COMBINED SINGLE LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per person) S A ANY AUTO 936269102 05/01/2016 05101/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident ) S NON-01AVNED HIRED AUTOS AUTOS PROPERTY DAMAGE Par accident $ $ X UMBRELLA LUIB X OCCUR EACH OCCURRENCE t 2,000,00 AGGREGATE $ 2,000,00 A EXCESS LU18 CLAIMS -MADE 4936269i0l 05/01/2015 05/01/2016 DED X RETENTION t waived $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMSER EXCLUDED? (Mandatory in NH) e under DESCRIeoTICN OF OPERATIONS below N/A 081676 05/01/2015 05/01/2016 PER - X ISTATUTE I ER E.L. EACH ACCIDENT S 1,000,00 E.L. DISEASE -EA EMPLOYEES 1,000,00 EL. DISEASE- POLICY LIMIT t 1,000,00 A Inland Marine 4361691 05/01/2015 05101/2016'I1-sd/Rntd 70,00 ACV/Spcl Ded 50 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) All policy terms, conditions and exclusions apply. CITYFTC City of Fort Collins 300 LaPorte Avenue Fort Collins, CO 80521 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD