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AGGIE PLUMBING & SERVICE INC - INSURANCE CERTIFICATE
A�� ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDM'YY) 10/21/2015 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 WEEDIN AGENCY INC PO Box 55 Loveland, CO 80539 CONTACT NAME: PHA/CONNo E Ext : ( 970) 667-2145 a/o No:(970) 669-9295 E-MAIL ADDRESS com INSURERS) AFFORDING COVERAGE NAICM INSURERA:OWNERS INSURANCE COMPANY INSURED AGGIE PLUMBING & SERVICE, INC. 309 S. SUMMIT VIEW DR., SUITE 12 FORT COLLINS, 80524 INSURER B : INSURER C: INSURER D: INSURER E INSURER F l...1r,a110 1`17D71MI"ATG MIINnRFR- 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 I LTR TYPE OF INSURANCE ADDL INSO sueR NND POLICY NUMBER MM/DD/YYYY MWDDM'YY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 CLAIMS -MADE I —XI OCCUR PREMISES Ea occurrence $ 300,000 74033019 11/01/15 11/01/16 MEDEXP(Anyoneperson) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 A GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- X POLICY ❑ JECT LOC $ OTHER: COMBINED IN L LI 1 Ea accident $ 1,000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ X ANYAUTO 50-033019-00 a/o1/1s 11/01/16 ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ A AUTOS AUTOS NON -OWNED PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS $ X UMBRELLA LIAB OCCUR 50-033019-01 11/01/15 11/01/16 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10 000 $ WORKERS COMPENSATION _ STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICEREMBER EXCLUDED? IM (Mandatory In NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT P.O. BOX 580 FORT COLLINS, COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CO. 80522-0580 AUTHORIZED SLINDELL@FCGOV.COM (3 I .I ©1988-2014 ACORD25(2014!0111 The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved.