HomeMy WebLinkAboutBRACONIER PLUMBING & HEATING CO INC - INSURANCE CERTIFICATE (4)Client#: 1085638
BRACOPLU
ACORD,., CERTIFICATE OF LIABILITY INSURANCE
D2/29/2/DD/YYYY)
/2s/zo1 s
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
USI Colorado, LLC Construction
P.O. Box 7050
Englewood, CO 80155
800 873-8500
CONTACT
Client Manager
aco"No Ext:800 873-8500 FAX A/c Ne; 303.831-5295
E-MAIL den.contractors@usi.biz
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A: Zurich American Insurance Compa
116535
INSURED
Braconier Plumbing &Heating Co., Inc.
2626 S. Raritan Circle
INSURERB: St Paul Fire and Marine Insuran
24767
INSURER C:
Englewood, CO 80110-1208
INSURER D:INSURERE:
INSURER F:
UUVtRA1JitS CERTIFICATE NUMBER: RFVLCInN NI IMRFR.
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.
IN R
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY)
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X
X
GL0437879705
3/01/2016
03/01/2017
EACH OCCURRENCE
$1 000 000
PREMISES Ea oau ante
$100000
MED EXP (Any one person)
$1 O 000
PERSONAL& ADV INJURY
$1,000,000
GERL
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY 51JECTT CI LOC
OTHER:
GENERAL AGGREGATE
s2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED I SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
X
X
BAP437879805
3/01/2016
03/01/2017
COMBINED SINGLE LIMIT
Ea accident
$11000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
XI
PROPERTY DAMAGE
Per accident
$
$
B
I XJ
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ZUP13S2279516NF
3/01/2016
03/01/201
EACH OCCURRENCE
s5,000,000
AGGREGATE
$5 00O 000
DED X RETENTION $1O 000
$
A
AND EMPSCOMPENSATIONYERS'LIILIT
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? �
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
X
WC437880805
3/01/2016
03/01/2017
X PER OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Ft Collins
PO Box 580
Ft Collins, CO 80526-0000
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
ACORD 25 (2014/01) 1 of 1
#S17354070/Ml7349918
01988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NRDZP