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Home My WebLink AboutMISTER B'S HVAC INC - INSURANCE CERTIFICATE (6)ACORN® � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/252017 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 endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME: CLIENT CONTACT CENTER A CNNo Ext : 888-333-4949 A : 507-446 4664 /c No E-MAIL AooREss: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 342-538-6 INSURER B: INSURER C: MISTER B'S HVAC INC PO BOX 21756 CHEYENNE, WY 82003-7045 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 49 REVISION NUMBER: 0 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY —1 CLAIMS -MADE a OCCUR BUSINESS OWNER'S LIABILITY N N 9246984 09/08/2017 09/08/2018 EACH OCCURRENCE $1,000,000 DAMAGE To RENTED PREMISES Ea occurrence $100,000 X MED EXP (Any one person) PERSONAL & ADV INJURY $1,000,000 GEN'L NOTHER: AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO SCHEDULED OWNED AUTOS ONLY SCHEDULED AUTOS NON -OWNED HIRED AUTOS ONLY AUTOS ONLY N N 9246985 09/08/2017 09/08/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accdent A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 9246986 09/08/2017 09/08/2018 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED RETENTION A ANB EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED. (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 9246984 09/08/2017 09/08/2018 PER STATUTE ER ER 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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) STOP -GAP (EMPLOYER'S LIABILITY) COVERED STATE(S) WY rCOTInrATC We'll nFo CANCELLATION 342-538-6 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 490 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 k9 I068-LU 10 M%.VKU I.VKry KI1I IVI\. nu „ynaa ,wc VVU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD