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Home My WebLink About133159 PAUL DAVIS RESTORATION - INSURANCE CERTIFICATE (3)PAULDAV-01 VMATHIASON ,4c'oR0 CERTIFICATE OF LIABILITY INSURANCE DATE F/30//2 Y01 06307 7 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 have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER ,NAME; _ PFS Insurance Group PHONE , Ert►: (970) 635-9400 �Fivc, No): (970) 635-9401 Johnstown, CO 80534 valeriem@mypfsinsurance.com Parkway Suite 200 IL valeriem m fsinsurance.com oh - RESS: INSIIRERISI AFFORnING COVERAGE I NAIC # INSURED INSURER B : Philadelphia Indemnity Ins Co Legacy Corporation Paul Davis Restoration of Northern Colorado INSURER C : Pinnacol Assurance Co 41190 Northern Colorado INSURERD: 309 Lincoln Court Fort Collins, CO 80524 INSURERE: INSURER F : �nvrn w ncc. •"0G\/ICIr1K1 IUI IMRFR- v 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR MMIDDNYYY MM/ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 p�MGETORENTED ISES (Ea occurrence) CLAIMS -MADE I A i OCCUR X Prof & Pollution PPK1677936 07/01/2017 07/01/2018 100,000 $ MED EXP (Any oneperson) $ 51000 PERSONAL & ADV INJURY $ 1'000'000 GENERAL AGGREGATE 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3,000,000 X� POLICY F PRO- LOC JECT L_ OTHER. B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a acad nt)___ _._ _ _ 1,000,000 $ X_ ANY AUTO PHPK1676836 07/01/2017 07/01/2018 BODILY INJURY Per person $ BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY f AUTOS )( HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ PRe0raocld�t AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE PUB591238 07/01/2017 07/01/2018 AGGREGATE $ 2,000,000 $ DED X RETENTION $ 10,000 ETH- C WORKERS COMPENSATION X PEA STTE AND EMPLOYERS' LIABILITY y PROPRIETOR/PARTNER/EXECUTIVE'4156670 07/01/2017 07/01/2018 - N E.L.EACHACCIDENT ANY OFFICER/MEMBR/ ARTNE /E ECUTIVE N/A (Mandatoryin NH) E.L. DISEASE -_EA EMPLOYE 1,000,000 $ _ $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT$ 1,000,000 B Property PHPK1676836 07/01/2017 07/01/2018 'BPP 77,147 B Equipment Floater PHPK1676836 07/01/2017 07/01/2018 jLeased/Rented 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, the certificate holder Is included as additional insured for ongoing operations under general liability. nrr�t�r�rw Tr un� nco f`AAIr FI I ATIAIJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE /� H60 ACORD 25 (2016/03) U 198ts-2U15 AGUKU UUKI-UMA I IUN. AU rlgnis reservea. The ACORD name and logo are registered marks of ACORD