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HomeMy WebLinkAboutCENTRAL MECHANICAL INC - INSURANCE CERTIFICATE (5)P5260021,CI02 0 DATE (MMIDDNYYY) " AC4 RV CERTIFICATE OF LIABILITY INSURANCE 09/28/2015 III r 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 1-303-534-4567 CONTACT NAME: IMA, Inc. - Colorado Division PHONE FAX 1A8'e.tt4. fA _ _ — — — ___(A/C, No): E-MAIL DenACCountTechs@imaco com 1705 17th Street ADDRESS_�• _ - Suite 100 INSURER(S)AFFORDING COVERAGE NAICS Denver, CO 80202 INSURER A:WRSTFIELD NATL INS CO 24120 INSURED INSURERB: PINNACOL ASSURANCE 41190 Central Mechanical Inc INSURER C 3774 Puritan Way INSURER D: INSURER E : Erie, CO 80516 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 45104982 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 TYPE OF INSURANCE ADDL $UBR POLICY NUMBER MMIDI LTR DTYYYYCYUF MMLDDIYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY TRA0270666 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 ( ] CLAIMS -MADE L.% OCCUR DAMAGE TO RENTED PREMISES IEa occurrence $ 500,000 X MED EXP (Any one person) $ 5,000 PD Dad: $1, 000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY [X] PROJECT I- X l LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER. A AUTOMOBILE LIABILITY _ TRA0270666 04/01/15 04/01/16 COMBINED SINGLE LIMIT Ef_a accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALI CWNED SCHEDULED _ AUTOS I_.. AUTOS BODILY INJURY (Per accident) $ $ X I X NON -OWNED HIRED AUTOS _ AUTOS PROPERTY DAMAGE Peraccident $ A X UMBRELLA LIAB JX OCCUR TRA0270666 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE $ DIED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE � OFFICER/MEMEER EXCLUDED? (Mandatory in NH) N I A 4071688 10/01/15 10/01/16 TH % STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, descdbe under DESCRIPTION OF OPERA [IONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) %,tl( I I1-11,A 1 t rIULUtK UAI UrLLAI IUN RE: Contractors License. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 281 North College Ave. AUTHORIZED REPRESENTATIVE P.O. Box 580 q Fort Collins, CO 80522-0000 USA [[[ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ashmcclain 45104982