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ATWORK PLUMBING INC - INSURANCE CERTIFICATE
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYY) 01/26/16 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. 1601 East Eisenhower Blvd. Loveland CO 80537 CONTACT PHONE 970.667.21456 FAX E"MAIL heather@weedinagency.com INSURERS AFFORDING COVERAGE NAIC It IN URERA: Auto Owners INSURED Atwork Plumbing Inc PO BOX 584 Berthoud CO 80513-0584 INSURER B INS RERC: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 POLICY EFF POLICY EXPLTIR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 74007797 0110 //2016 01/05/2017 EACH OCCURRENCE $1,000 000 DAMAGE TO RENTED $ 3OO OOO MED EXP (Any one rs ,n $1 O 000 PERSONAL & ADV INJURY $1 00O 000 GEN'L AGGREGATE LIMIT APPLIES PER: RO- X POLICY PRO LOC T ER' GENERAL AGGREGATE $ 2 00O 000 PRODUCTS - COMP/OP AGG s2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ D I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NM) If yes, describe under DESCRIPTION FOPERATIONSbelow NIA I OTH- PERTIITF E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $1 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 019 ill IaL"IlI �Ill i Leif aJ a3 CITY OF FORT COLLINS 281 N COLLEGE AVE PO BOX 580 FORT COLLINS, CO 80522 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 Fax: ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD