HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (8)AC40R " CERTIFICATE OF LIABILITY INSURANCE
6A��2015YYY)
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 NAME: Kelly Beauvais, CIC, CISR
PHONE (970) 266-7121 FAX
N (970) 506-6845
E-MAIIL .kbeauvaisQfloodpeterson.com
ADRES
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Contlnental Western
INSURED
Kahar Plumbing & Heating, Inc.
6772 & 6766 North Franklin Avenue
Loveland CO 80538
INSURERB:Plnnacol Assurance
41190
INSURER C:
INSURERD:
INSURER E :
INSURERF:
COVERAGES CERTIFICATE NUMBER:CL156103223 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
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE To RENTE D
PREMISES Ea occur ence
$ 100,000
A
CLAIMS -MADE YOCCUR
CPA3063230
5/19/2015
5/19/2016
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
X POLICY X PRO LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea.ccident
1,000,000
X
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
PA3063230
5/19/2015
5/19/2016
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS N AUTOS
Uninsured motorist combined
$ 1,000,000
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 1,000,000
N
AGGREGATE
$ 1,000,000
A
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
$
PA3063230
/19/2015
/19/2016
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
X WC STATU- OTH-
TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 500,000
OFFICER/MEMBER EXCLUDED? J
(Mandatory in NH)
N / A
1542230
/1/2015
/1/2016
E.L. DISEASE - EA EMPLOYEE
$ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0000
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
ACORD 25 (2010/05)
INS025 (201005).01
K Beauvais, CIC, CISR�"�
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD