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HomeMy WebLinkAboutCANYON MECHANICAL INC - INSURANCE CERTIFICATE (5)ACIOR 0® CERTIFICATE OF LIABILITY INSURANCE (MMIDDNYY DATE 5/21/2015 Y) 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 endorsement(s). PRODUCER Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Katie MacCallon, CISR NAME: PHONE C. (9'70)266-7I57 FAXNo:(970)330-1867 AIL ADDRESS KMaccallon@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:COlorado CasualtV Insurance INSURED Canyon Mechanical, Inc PO BOX 327 Berthoud CO 80513 INSURER B :Peerless Indemnity Insurance 18333 INSURERC:Plnnacol Assurance 41190 INSURER D : INSURER E : 1 INSURER F: COVERAGES CERTIFICATE NUMBERCL1552102960 REVISION NUMBER: 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 OF INSURANCE L ADDTYPE POLICY NUMBER MM DD/YISUBR POLICY E YYYI (MM/DDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 $ COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED PREMISES Ea occurrence $ 300,000 A CLAIMS -MADE Fx_1 OCCUR BKS1555648252 0/14/2014 0/14/2015 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 019911 0/14/2014 0/14/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION X WC STATU- OTH- TORY LIMITS I ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 4001984 6/1/2015 6/1/2016 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE - POLICY LIMIT i $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The certificate holder is named as an additional insured as their interest may appear in reference to the named insured's operations. (Excluding Workers Compensation) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Ft Collins CO 80522-0000 AUTHORIZED REPRESENTATIVE K MacCallon, CISR/KMA ACORD 25 (2010/05) INSn25 nninns) m © 1988-2010 ACORD CORPORATION. All rights reserved. Thu ACnRn nmmu —A Innn mro runicf—A mnr4c of Arnon