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HomeMy WebLinkAboutH&M MECHANICAL LLC - INSURANCE CERTIFICATE (4)ACC> " CERTIFICATE OF LIABILITY INSURANCE FDATE TE(MWD 015Y) 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 CONTNAME, Brandie Zuckerman, CRIS Moody Insurance Agency, Inc. PHCN c (303) 824-6600 FAX No: (303)370-0118 8055 East Tufts Avenue E-MAIL ADDRESS: brandie.zuckerman@moodY ins.com Suite 1000 INSURERS AFFORDING COVERAGE NAIC# Denver CO 80237 INSURERA:Union Insurance Co 25844 INSURED INSURER B Acadia Insurance Company 31325 H&M Mechanical, LLC INSURERC: 108 E Emma Street INSURER0: Lafayette CO 80026 I INSURERF: COVERAGES CFRTIFICATF NIIMRFR•15-16 Master DG\1Iclnn1 nIIIReDCD. 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. TR TYPE OF INSURANCE AD L U NUMBER LICY EFF POPOLICY MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person $ 10,000 CPA3068937-22 8/1/2015 8/1/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC 1:1 ❑ GENERAL AGGREGATE $ 2,000,000 PRO DUCTS-COMPlOPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY (Ea BIKED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CPA3068937-22 8/1/2015 8/1/2016 BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 A EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ CPA3068937-22 8/1/2015 8/1/2016 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 I I WCA3103928-21 I 8/1/2015 I 8/1/2016 ER 0 H- XISTATUTE I I ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT - $ 500,000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r rvw�n l.AV4t r_LLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE B Zuckerman, CRIS/BRAS V 19S8-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)