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HomeMy WebLinkAboutAMERICAN MECHANICAL SERVICES OF DENVER LLC - INSURANCE CERTIFICATE (5)ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE (MMIDDIYYYY) 2/29/2016 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 endorsements . PRODUCER M&T Insurance Agency, Inc. 41 University Drive, Ste. 405 Newtown PA 18940 CONTACT NAME: Diane Case PHONE 215-504-1215 Fix 215-504-1235 E-MAIL dccasey@mtb.com INSURER(S) AFFORDING COVERAGE NAIC It INSURER A:Old Republic Insurance Co. 24147 INSURED AMER117 INSURERS: North River Ins Company 21105 American Mechanical Services of Denver, LLC INSURER c:Great American Ins. Co. 16691 Branch #9307 6810 S. Tucson Way INSURER D: Centennial CO 80112 INSURER E: INSURER F: COVFRAGFS CERTIFICATE NtIMRER- 1957325311 RFVISION NIIMRFR- 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 INSD WVD POLICY NUMBER POLICY EFF WDDNYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y MWZY306241 3/112016 3/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE �X OCCUR PREMISES(EERaoccurrence $500,000 X MED EXP (Anyone person) $10,000 Contractual Uab X No XCU Exclusion PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E2,000,000 POLICYO JEST LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y MW7B306240 3I1I2016 3/1/2017 Eaaccdern $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO AUTOS�ED SCHEDULED BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS Per accident E f B UMBRELLA LIAB X OCCUR Y Y 5821047459 3/1/2016 3/1/2017 EACH OCCURRENCE s20,000,OOO X AGGREGATE s20,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $FOLLOWS FORM A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YINANY y MWC30623900 3/1/2016 3/1/2017 X PER OTH- STATUTE ER OFFICER/MEMBEEREXCLUDED7PROPRIETOPIPARTNER/EXECUTIVE I NIA E.L. EACH ACCIDENT E1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Installation Floater Y MAG1594285 1/1/2016 3/1/2017 All Risk $500,000 Leased/Rented Equipment Y Leased/Rented Equip $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Commercial General Liability Policy Endorsements: CG2010-0413-Additional Insured -Owners, Lessees or Contractors -Scheduled Person or Organization; CG2037-0413-Additional Insured -Owners, Lessees or Contractors -Completed Operations; CG2404-0509-Waiver of Transfer of Rights of Recovery Against Others To Us; Automobile Liability Policy Endorsements: CA2048-1 013- Designated Insured for Covered Auto Liability Coverage; See Attached... City of Fort Collins 281 N. College Ave., 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 EPRESENTA7IVE ` Q- ` 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: AMERII7 LOC #: AC C> ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED M&T Insurance Agency, Inc. American Mechanical Services of Denver, LLC Branch #9307 6810 S. Tucson Wayy POLICY NUMBER Centennial CO 80112 CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 1013-Waiver of Transfer of Rights of Recovery Against Others To Us (Waiver of Subrogation); Compensation Policy Endorsements: 13-Waiver of Our Right to Recover From Others Endorsement ACORD 101 (2008/01) 0 2008 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved