HomeMy WebLinkAboutH2O PLUMBING & HEATING INC - INSURANCE CERTIFICATE (3)0
ACOR" CERTIFICATE OF LIABILITY INSURANCE
�-
DATE(MNUDDYYYY)
F 5/1/2018
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 endorsements ,
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO 80224
CONTACT
NAME: Scott Anderson, CIC
PHONE FAX
t : 303-996-7833 A c No : 303 757-7719
E-MANED
ADDRES66 sanderson crsdenver.com
INSURER(S) AFFORDING COVERAGE
NAIC N
INSURER A: The Phoenix Insurance Co.
25623
INSURED H2OPL-1 —
H2O Plumbing & Heating, Inc.
15552 E. Fremont Dr. A-104
Centennial CO 80112-6908
INSURER B : Travelers Prop Casualty of AM
25674
INSURER C : Travelers Casualty Ins Co of
19046
------- -- --- ----
INSURER D :
r --
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1657890795 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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF POLICY EXP
MMlDD/YYYY MM/DD/YYYY
LIMITS —'
A
X
COMMERCIAL GENERAL LIABILITY
CO4J336423
5i 1/2018 5/1/2019
EACH OCCURRENCE
$1.000.000
CLAIMS -MADE OCCUR
DAMAGE 70 RENTED
PREMISS I Ea occurrence)
$ 300,000
MED EXP (Any oneperson)
$10,000
PERSONAL 3 ADV INJURY
$1,000,000
i
GENt AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
JPRO-
POLICY LOC
I
PRODUCTS - COMPIOP AGG
$ 2,000,000
Limited Pollution
$ Included
OTHER:
B
AUTOMOBILE LIABILITY
BA4J319402
5/1/2018
5l112019
COMBINED SINGLE LIMIT
Ee accident)_
$1,000,1300
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)$
PROPERTY DAMAGE
I Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
1
$
B
X
UMBRELLA LIAB
X
OCCUR
CUP4J375713
5/1/201B
5/1/2019
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2.000,000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION
_
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
UB4J339911
5/1/2018
5i1/2019
X PER IR
STATUTE EER
ANYPROPRIETO.RIPARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1.000,000
OFFICERMEMBEREXCLUDED?
NIA
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$1,000,000
If es. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
Inland Marine
C04J336423
5IV201B
5A/2019 Rntd/LsdEgwp.
I
100,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached it more space is required)
All policy terms, conditions and exclusions apply.
City of Fort Collins
300 LaPorte Avenue
Fort Collins CO 80521
L;ANGtLLA 1 IVN
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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD