HomeMy WebLinkAboutAPR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (4)A� �® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM 01/11/2016 016 Y)
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
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
Co NT NAME: CT CLIENT CONTACT CENTER
A/C,
CNNo Ext : 888-333-4949 FAX No): 507-446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC It
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 330-652-9
INSURER B:
APR PLUMBING & HEATING INC
INSURER C:
PO BOX 1441
INSURER D:
LOVELAND, CO 80539
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2 REVISION NUMBER: 0
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
DL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYVYV
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,000
CLAIMS -MADE X OCCUR
MED EXP (Any one person(
PERSONAL& ADV INJURY
$1,000,000
A
X BUSINESS OWNER'S LIABILITY
N
N
9149859
03/01/2016
03/01/2017
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS - COMPIOP AGO
$2,000,000
X POLICY
JEC
LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE UMIT
Ea acciden
$1,000,000
X
ANY AUTO
BODILY INJURY (Per person)
A
ALL OWNED SCHEDULED
AUTOS AUTOS
N
N
9116882
03/01/2016
03/01/2017
BODILY INJURY (Per accident)
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accidenfl
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESS LIAR
CLAIMS -MADE
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
X
WC STATU-
I TORY LIMITS
OTH-
ER
E.L EACH ACCIDENT
$100,000
ANY PROPRIETORIPARTNERIEXECUTIVE
A
OFFICERIMEMBEREXCLUDED?
NIA
N
9149860
03/01/2016
03/01/2017
E.L. DISEASE - EA EMPLOYEE
$100,000
IMandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE - POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
330-652-9
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
20
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
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ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD