HomeMy WebLinkAboutAMERICAN MECHANICAL SERVICES OF DENVER LLC - INSURANCE CERTIFICATE (7)DATE (MM+DD YYYY)
ACORL> CERTIFICATE OF LIABILITY INSURANCE
2 /26/2018
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 CONTACT
ME: Vanessa Luby
41 T suDrive, Ste. 405 NAME;
1. 215-504-1218 FAC No): 215-504-1235
M&T Insurance Agency, Inc. PH
University E-MAIL
Newtown PA 18940 • Service mtb.com
INSURERM AFFORDING COVERAGE
INSURER A: Old Republic Insurance Co. 24147
INSURED AMER117 INSURER B : North River Ins Compaq _ 21105
American Mechanical Services of Denver, LLC J
Branch #9307 INSURER C : Great American Ins Co of NY _ 22136
6810 S. Tucson Way INSURERD:
Centennial CO 80112
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER! 1775445d't1 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';Y� TYPE OF INSURANCE T POLICY NUMBER POLICY
LTRimimYYFF POLICY EXP LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
MWZY312169
3/1/2018
311/2019
EACH OCCURRENCE
$1.000,000
CLAIMS -MADE J OCCUR
PREMISES EaEoocurMnoaj
_
$ 500A00
ContracWel Liab
X
MED EXP (Any oneperson)
$10.000
X
No XCU Exd"on
PERSONAL 8 ADV INJURY
$1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2.000,000
POLICY ECTT LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
OTHER'
A
AUTOMOBILE LIABILITY
Y
Y
MWTS312168
3/1/2018
3/1/2019
COMBINED SINGLE LIMIT
$
BODILY INJURY (Per person)
$
X I ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per aocidenp $
X HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
PeOaWe DAMAGE , $
$
COMP 200 Ded COLL 5W Dad
B
UMBRELLA LIAR X OCCUR
Y
i Y
5821099038 3,' V2018 3/1/2019 EACH OCCURRENCE $ 20 000,000
_. _ —
X EXCESS LIAB CLAIMS -MADE
I
AGGREGATE $ 20.000AD0
DED RETENTION
$ FOLLOWS FORM
A WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR+PARTNER/EXECUTIVE YIN N
Y
MWC312170
3,1/2018
3,112019 X PTATUTE. ERH-
' � —
E.L. EACH ACCIDENT
$1,000A0o
OFFICERiMEMBEREXCLUDED9 a
(Mandatory In NH)
N/A
E.L. DISEASE - EA EMPLOYEE
— - '
$1,000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1,000,ow
C Installation Floater
Leased/Rented Equipment
Y
Y
MAC159428502
3/11/2018
i
3/1/2019
Ali Risk
Leased/Rented Equip
$500,000
$100,0D0
DESCRIPTION OF OPERATIONS; LOCATIONS: VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached If more space is required)
Commercial General Liability Policy Endorsements:
CG2010-0413-Additional Insured -Owners. Lessees or Contractors -Scheduled Person or Organization;
CG2037-0413-Additional Insured -Owners, Lessees or Contractors -Completed Operations:
CG2404-0509-Waiver of Transfer of Rights of Recovery Against Others To Us.
Automobile Liability Policy Endorsements:
CA2048-1013-Designated Insured for Covered Auto Liability Coverage;
CA0444-1013-Waiver of Transfer of Rights of Recovery Against Others To Us (Waiver of Subrogation);
Workers Compensation Policy Endorsements:
WC000313-Waiver of Our Right to Recover From Others Endorsement
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
281 N. College Ave., PO BOX 580 AUT4QRIZEDREPRESENTATIVE
Fort Collins CO 80526 y
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