HomeMy WebLinkAboutSERVICE EXPERTS HEATING & AIR CONDITIONING LLC - INSURANCE CERTIFICATE (2)SEHAHOL-01 KHADTAREPR
.44cOR0 DATE (MM/DONYYY)
�� CERTIFICATE OF LIABILITY INSURANCE 3/17/2016
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 endorsement(s).
PRODUCER
Willis of Texas, Inc.
c/o 26 Century Blvd
P.O. Box 305191
CONTACT Willis Towers Watson Certificate Center
NAME:
_
PHONE 877 945-7378 FAX
(A/C. No. Ext): ) _(A/C. No): (888)_467-2378
n DRESS: certificates@willis.com
Nashville, TN 37230-5191
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
INSURER B:Starr Indemnity & Liability Company
38318
INSURED
Service Experts Heating & Air Conditioning LLC
INSURER C: Agri General Insurance Company
42757
INSURER D
3820 American Drive
Suite 200
S
Plano, TX 75075
INSURER E : _
INSURER F :
rnvGDer_Fc rFDTIFIr-ATF NIIIIIARFR• 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 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.
ILTR R.TYPE
OF INSURANCE
ADDLSUBR
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD
MPOLICY WDD EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEFic] OCCUR
HDO G27405162
03/22/2016
03/22/2017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,00
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY RC - LOC
OTHER:
GENERAL AGGREGATE
$ 10,000,00
PRODUCTS -COMP/OP AGG
$ 2,000,000
AUTOMOBILE LIABILITY
A X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
ISAH0904078A
0=7n016
03/22/2017
COMBINED SINGLE LIMIT
Eaaccident
$ 2> > 000 00
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PerOa cidentDAMAGE
$
$
B
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS MADE
1000011352
03/22/2016
03/22/2017
EACH OCCURRENCE
$ 10,000,000
X
AGGREGATE
$ 10,000,00
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVED? Y�
OFFICER/MEMBER EXCLUDE
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WLR C48601741
03/22/2016
03/22/2017
IPER H-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,00
C Workers Compensation
"601753
03/22/2016 03/22/2017
See Attached
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Medical Expense (any one person): $5,000 Self -Insured
rCDTICIr ATG Wr11 nFR rANrFI I ATIAN
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
CITY OF FORT COLLINS
P.O. BOX 580 FORT
,FORT COLLINS CO 80522-0380
�
U 1988-ZU14 ACVFiU GUKPUKA I IUN. All rlgniS reservea.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
ADDITIONAL COVERAGE SCHEDULE
COVERAGE
LIMITS
POLICY TYPE: Workers Compensation & Employers'
WC - Per Statute
Liability
E.L. Each Accident $1,000,000
CARRIER: Agri General Insurance Company
E.L. Disease - EA Employee $1,000,000
POLICY TERM: 3/22/16 — 3/22117
E.L. Disease - Policy Limit $1,000,000
POLICY NUMBER: WLR C48601753
All policies (except Workers' Compensation/EL)
include a blanket automatic additional
insured endorsement [provision] that confers
additional insured status to the certificate
holder only if there is a written contract between
the named insured and the certificate
POLICY TYPE: General Liability, Automobile Liability, &
holder that requires the named insured to name
the certificate holder as an additional
Excess Liability
insured. In the absence of such a contractual
CARRIER: ACE American Insurance Company, ACE
obligation on the part of the named
American Insurance Company, & Starr Indemnity &
insured, the certificate holder is not an additional
Liability Company
insured under the policy.
POLICY TERM: 3/22/16 — 3/22/17
All policies include a blanket automatic waiver of
POLICY NUMBER: HDO G27405162, ISAH0904078A, &
subrogation endorsement [provision]
1000011352
that provides this feature only when there is a
written contract between the named
insured and the certificate holder that requires it.
In the absence of such a contractual
obligation on the part of the named insured, the
waiver of subrogation feature does not
apply.
Named Insured Schedule:
SEHAC Holdings Corporation
SE Holdco, LLC
Service Experts LLC
Service Experts Heating & Air Conditioning LLC
Service Experts of the Bay Area, Inc.
Freschi Air Systems, Inc.
Service Experts, LLC
Service Experts NJ Plumbing LLC
Service Experts Heating & Air Conditioning - New York LLC
Service Experts Heating & Air Conditioning -West Virginia LLC
Service Experts Heating & Air Conditioning - Maryland LLC
Engineering Excellence National Accounts, LLC
Attachment to ACORD 25 (201401)