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STRAIT PLUMBING INC - INSURANCE CERTIFICATE
DATE (MMIDD/YYYY) Ali �® CERTIFICATE OF LIABILITY INSURANCE 2/16/2018 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 Commercial Risk Solutions PHONE Katie Smothers FAx 6600 E Hampden Ave Ste 200 E • 303-996-7801 A/c No:303-757-7719 Denver CO 80224 ADDRESS: ksmothers@crsdenver.com INSURED STRPL-1 Strait Plumbing, Inc. 4656 Brighton Blvd Denver CO 80216 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Employers Mutual Casualty Co. INSURER B : Plnnacol Assurance 41190 _ INSURERC: INSURERD: INSURER E : INSURER F : Cr1VFRAi11FS CFRTIFIrATF NI IMRFR• 90RFR1175 RFVISInN Ni1MRFR- 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 TYPE OF INSURANCE BLS L SUER POLICY NUMBER MMIDD//YYYY MM LTR IDD/YYWI LIMITS A X COMMERCIAL GENERAL LIABILITY 5X82822 2/9/2018 2/9/2019 EACH OCCURRENCE $1,000,GOO CLAIMS -MADE %� J OCCUR PREM SES ( a occurrE TO ence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO - POLICY a ECT LOC PRODUCTS -COMP/OPAGG $2.000,GOO $ OTHER: A AUTOMOBILE LIABILITY 5X82822 2/9/2018 2/9/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE 4179187 1/1/2018 1/1/2019 X I PER H- STATUTE OERT E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? � N/A (Mandatoryin NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 _ E.L. DISEASE - POLICY LIMIT -- $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Leased and Rented Egwpment Special Form/ACV/80 % Coinsurance 5X82822 2/9/2018 2/9/2019 Limit Deductible 50,000 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policies terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION 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. 281 N. College Ave P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins Co 80522-0580 ��"✓ X—ft ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD