HomeMy WebLinkAboutH&M MECHANICAL LLC - INSURANCE CERTIFICATE (6)DATE (MMIDD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
L _�- 1 7/28/2017
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
Moody Insurance Agency, Inc.
8055 East Tufts Avenue
Suite 1000
Denver CO 80237
INSURED
H&M Mechanical, LLC
108 E Emma Street
NAAAE:-
PHONE
LAK _NQJ
E-MAIL ADDRES.c
INSURER
INSURER
INSURER
INSURER
Brandie Zuckerman, CRIS
(t). (303)824-6600 (AIC No):(303)370-0118
brandie.zuckerman@moodyins.com
INSURER(S) AFFORDING COVERAGE NAIC #
:Union Insurance Co 125844
s:Acadia
E:
Lafayette CO 80026 INSURERF:
r,,.- rCoTinrwrc su lsecCD.1 7-1 R MAQ -PT RFVICI0N NI IMRFR-
31325
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
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [ X I OCCUR
CPA3068937-23
8/1/2017
8/1/2018
EACH OCCURRENCE
$ 1,000,000
$ 300,000
PREMISE Ea occ rrence
MED EXP (Any one person)
$ 10,000
PERSONAL 8 ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY u PRO- ❑
X PRO-JECT LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMP/OPAGG
$ 2,000,000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
CPA3068937-23
8/1/2017
6/1/2018
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
$
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CPA3068937-23 8/1/2017
8/1/2018
EACH OCCURRENCE
$ 31000,000
AGGREGATE
$ 3 000 000
DED X RETENTION$ 0
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICEtory in H) EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
NIA
WCA3103928-22 8/1/2017
8/1/2018
X STATUTE ERH
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYE
$ 500 000
__.._
E.L. DISEASE -POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIF
Fort Collins
PO Box 580
Ft. 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 REPRESENTATIVE
B Zuckerman, CRIS/BRA `
l/ IY88-W 14 AliVRL! I,VRr'Vrw 11Vr�. ran nynw rcaar vou.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)