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HomeMy WebLinkAboutPHILLIPS PLUMBING AND MECHANICAL INC - INSURANCE CERTIFICATE (4)A� "0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYY 7/15/2015vY) 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: Dana Stewart, CIC, CISR PHONE (97O)266-7149 FAX (970)506-6845 A/C No): ADDREooE-MAIL DStewart@fld eterson.coP m INSURERS AFFORDING COVERAGE NAIC # INSURERA:Continental Western Grow INSURED Phillips Plumbing And Mechanical, Inc. 217 Versaw Court Berthoud CO 80513 INSURER B :Plnnacol Assurance INSURERC: INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER CI,1571504362 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 INSR VVVD UBR POLICY NUMBER EFF MWDD VYYY MLICY M DD/YCY YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X PD Deductible: $2,500 CPA3065002 8/1/2015 8/1/2016 EACH OCCURRENCE $ 1,000,000 DAMA E ( RENTED PREMISESS Ea occurrence) $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED PA3065002 8/1/2015 B/1/2016 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY (Per person) $ IAUTOS BODILY INJURY(Peraccident ) $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CPA3065002 8/1/2015 8/1/2016 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4059628 8/1/2015 8/1/2016 TATU- OTH- X WC SLIMI T E.L. EACH ACCIDENT $ 11000,000 E. L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE- POLICY LIMIT I $ 1 000 DOD DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) I,CR I Iril.,fi i s rIVLUCR t AN%,LLLA I IUN City of Fort Collins PO Box 580 Ft 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 Rolph/NROLPH 1_;��� ACORD 25 (2010/05) INSn25 r9mnnFt m ©1988-2010 ACORD CORPORATION. All rights reserved. Thin Arr)pn nzmin ­f Innn — rnnicfnrcri --ire of arnp l