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HomeMy WebLinkAboutAMERICAN MECHANICAL SERVICES OF DENVER LLC - INSURANCE CERTIFICATE (8)AC"R " CERTIFICATE OF LIABILITY INSURANCE 2/23E( DIYYYY) 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 M&T Insurance Agency, Inc. 41 University Drive, Ste. 405 Newtown PA 18940 INSURED AMER117 American Mechanical Services of Denver, LLC Branch #9307 6810 S. Tucson Way Centennial CO 80112 NAME_''' Diane Casey 1AIr N _ Fx„. 215-504-1215 No,. 215-504-1235 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A;Old Republic Insurance Co. 24147 INSURER B: North River Ins Company 21105 INSURER C : Great American Ins. Co. 16691 rnvrDnnrc rrDTlrlreTr R11 IRARrD. 221 RR424 Drvlcln Rl 1111aaDr0. 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 ADDLISUEIRF INSD WV POLICY NUMBER POLICY EFF _^POLICY EXP MMIDD/YYYY MMIDD/YYYY --- --- - — LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y MWZY309290 3/1/2017 3/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE L ^ OCCUR DAMAGE TO RENTE PREMISES Ea occurrence $500,000 X MED EXP (Any one person) $10,000 Contractual Liab X No XCU Exclusion PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � JE T LOC PRODUCTS - COMP/OP AGG E2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y MWTB309289 3/1/2017 3/1/2018 COMBINED SINGLE 1T9rr Ea accident $1,000,000 X BODILY INJURY (Per person) S ANY AUTO AL OS OWNED SCHEDULED AU AUTOS BODILY INJURY Per accident) E NON -OWNED HIRED AUTOS X AUTOS X Per accident E E — B UMBRELLA LIAB X OCCUR Y Y 5821070724 3/1/2017 3/1/2018 EACH OCCURRENCE $20,000,000 X AGGREGATE E20,000,000 EXCESS LIAR CLAIMS -MADE DIED I I RETENTIONS $FOLLOWS FORM A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y /N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N NIA Y MWC309288 3/1/2017 3/l/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) It yes, describe under _— DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Installation Floater Y MAC1594285-01 3/1/2017 3/1/2018 All Risk $500,000 Leased/Rented Equipment Y Leased/Rented Equip $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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; See Attached... UtK I IFIL;A I t t1ULUILM C;ANUtLLA I IUN City of Fort Collins 281 N. College Ave., PO Box 580 Fort Collins CO 80526 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: AMER117 LOC #: ,4�ORL7`� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED M&T Insurance Agency, Inc. American Mechanical Services of Denver, LLC Branch #9307 6810 S. Tucson Way POLICY NUMBER Centennial CO 80112 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 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 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD