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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 la 79RR-9nin Arnpin CARDODATION All rinh}e rpcpmprl ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD