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HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (12)ACORN® `.� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/18/2018 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). PRODUCER Flood and Peterson Corporate Mailing Address: P.O. Box 578 Greeley CO 80632 CONTArr NAME: Bnanne Danielson, CISR PHONE (970) 266-7118 970) 506-6846 A/C No Ext : A/C, No E-MAIL s: BDanielson@FloodPeterson.com ADDRE INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Acadia Insurance Company 31325 INSURED Kahar Plumbing & Heating, Inc. 6772, 6766 & 6760 N. Franklin Avenue Loveland CO 80538 INSURER B : Pinnacol Assurance 41190 INSURER C : INSURER D: INSURER E : INSURER F : rnvcoer-ce r FRTIFIrATF N1I IMFi CL1851823314 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. INSIR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR $1,000 Deductible - Property CPA306323024 05/19/2018 05/19/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 X MED EXP (Any oneperson) $ 10,000 Damage - Per Occurrence PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEt° 0 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY IXAUTOS ONLY CPA306323024 05/19/2018 05/19/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR EXCESS LIA9 %el OCCUR CLAIMS -MADE CPA306323024 05/19/2018 05/19/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DIED I X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY v / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 1542230 07/01/2017 07/01/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) [Nmw SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ��Qllat ypi,,,e(sp�, U' 1988-2U75 AGUKU GUKPUKA I IVIV. AU ngnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD