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HomeMy WebLinkAboutPHILLIPS PLUMBING AND MECHANICAL INC - INSURANCE CERTIFICATE (6)ACORO0 7-7/27/2017 TE (MM/DDNYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Dana Stewart, CIC, CISR Flood and Peterson PH L E . (970)266-7149 IF fffl. No: (970)506-6845 PO Box 578 E-MADDRESS:DStewart(9floodpeterson.com INSURERS AFFORDING COVERAGE NAIC 0 Greeley CO 80632 INSURERA:COntinental Western Insurance 10804 INSURED INSURERB:Pinnacol Assurance 41190 Phillips Plumbing And Mechanical, Inc. INSURERC: 217 Versaw Court INSURERD: INSURER E : Berthoud CO 80513 INSURERF: COVFRAr.FS CERTIFICATE NLJMRFR-17-18 GL/AU/XS/WC 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. I�Tp TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER M YY M DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE ❑X OCCUR PREMISES EaDAMAGE TO ENTE occurence $ 300,000 MED EXP (Any one person) $ 10,000 CPA3065002 8/1/2017 8/1/2018 PERSONAL & ADV INJURY $ 11000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I I jECT El LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED Ea accidentSINGLELIMIT $ 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CPA3065002 8/1/2017 8/1/2018 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Pete $ NON -OWNED HIRED AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED .RETENTION$ $ CPA3065002 8/1/2017 8/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE X STATUTEI ER E.L. EACH ACCIDENT $ 11000, DOD OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4059628 8/1/2017 8/1/2018 _ E.L. DISEASE - EA EMPLOY $ 11000, 000 IT yes, describe under DESCRIPTION OF OPERATIONS below 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) GEH I IFIGA It: HULUEH GAM tLLA 11UN City of 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 ACORD 25 (2014/01) INS025 (201401) D Stewart, CIC, CISR/ © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD