HomeMy WebLinkAboutAPR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (8)'`� �® CERTIFICATE OF LIABILITY INSURANCE
DATE 017
01/18/2017
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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
JAICPHONE.I FAX
No Ext : 888-333-4949 to No): 507-446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 330-652-9
INSURER B:
APR PLUMBING $ HEATING INC
INSURER C:
PO BOX 1441
LOVELAND, CO 80539
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2 REVISION NUMBER,: 0
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
DDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FKOCCUR
BUSINESS OWNER'S LIABILITY
N
N
9149859
03/01/2017
03/01/2018
EACH OCCURRENCE
$1,000,000
D AGE ToRENTED
PXMISES Ea occurrence)
$100'0W
X
MED EXP (Any one person)
GEN'L
X
PERSONAL & ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO ❑ LOC
JECT
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
N
N
9116882
03/01/2017
03/01/2018
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accidenII
UMBRELLA LIAR
EXCESS LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
AGGREGATE
DED I I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERI'XECUTIVE Y❑
inOFFICER/MEMNH EXCLUDED.
(Mandatory in NH)
(Mandatory
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
N
9149860
03/01/2017
03/01/2018
X
PER STATUTE
T
O R
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
E.L DISEASE -POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
330-652-9
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
20
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
Cd 1gRR_7n1A ACORn CORPORATION_ All rights reserved
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD