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HomeMy WebLinkAboutHOMETOWN HEATING & AIR INC DBA WELZIG MECHANICAL - INSURANCE CERTIFICATE (3)------ N HOMEHEA-02 CWATSON .44cORO DATE (MM/DD/YYYY) �, CERTIFICATE OF LIABILITY INSURANCE 8/7/2015 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: Pat Deaver TrueNorth PHONE 303 776-5122 Fax 303 776-M5 PO Box 847 (A/C, No, Ext): ( ) (kc Not: \ _ Longmont, CO 80502 ADD TRESS: INSURED Hometown Heating & Air, Inc dba Welzig Mechanical, Inc 1831 Boston Avenue, # D Longmont, CO 80501 INSURER(S) AFFORDING COVERAGE_ NAIC S INSURER A:OwnerS Insurance Company 32700 INSURERS: Pinnacol Assurance Company 41190 INSURER C INSURER D : INSURER E : INSURER F : COVFRAGFS CERTIFICATE NUMBER_ 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 74432747 08/09/2015 08/09/2016 1 =GE SES(EaEoccurD $_ 300,00 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY X PERCOTI X �^ LOC PRODUCTS - COMP/OP AGG $ 2,000,00 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accidents 1,000,000 r A X ANY AUTO 50432747 08/09/2015 08/09/2016 BODILY INJURY (Per person) ! $ ALL OWNED SCHEDULED - - `— BODILY INJURY (Per accident) $ AUTOS AUTOS _ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ -......_ _ __ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION X PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y / N _ B ANY PROPRIETOR/PARTNER/EXECUTIVE .4141577 08/01/2016 08/01/2016 � CH ACCIDENT $ 600,000 OFFICER/MEMBER EXCLUDED? NIA -- _ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe under--� DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ - 500,000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 Fort Collins, CO 80526 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 5�rm oI U © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD