HomeMy WebLinkAboutBRACONIER PLUMBING & HEATING CO INC - INSURANCE CERTIFICATE (7)Client#: 1085638 BRACOPLU
ACORDTM CERTIFICATE OF LIABILITY INSURANCE D/28/ /DD/Y 2 YYY)
/28/2017
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 endorsement(s).
CONTACT
PRODUCER NAME: Client Manager
USI Colorado, LLC Construction PHONE g00 873-8500 303-831-5295
A/C No E, : A/C, No
P.O. Box 7050 E-MAIL ADDRESS: den.contractors@usi.biz
Englewood, CO 80155
800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Zurich American Insurance Compa 16535
INSURED INSURER B : St Paul Fire and Marine Insuran 24767
Braconier Plumbing & Heating Co., Inc.
INSURER C
2626 S. Raritan Circle
Englewood, CO 80110-1208 INSURERD:
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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.
LT R
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF POLICY EXP
MM/DD/YYY MM/DD/YYY
LIMfTS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE IX] OCCUR
X
X
GL0437879706
3/01 /2017
03/01/2018
$1 000 000
pEACH�OCCURRENCE
PREMISES Eaocaurrence
$100000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1,000,000
L AGGREGATE LIMIT APPLIES PER:
PRO-
POLICYI CT I LOC
r,OTHER:
GENERAL AGGREGATE
$2 000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
X
X
BAP437879806
3/01/2017
03/01/201
EaacclidenSINGLELIMIT
1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per acc dent
$
B
X
UMBRELLA LIAB
EXCESS LAB
X
OCCUR
CLAIMS -MADE
ZUP13S2279517NF
3/01/2017
03/01/2018
EACHOCCURRENCE
$5000000
AGGREGATE
$5 000 000
DED X RETENTION $$1O OOO
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYSTATUTE
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
X
WC437880806
3/01 /2017
03/01/2018
X PER OTH-
E.L. EACH ACCIDENT
$1 OOO 000
E.L. DISEASE - EA EMPLOYEE
$1 000 000
E.L. DISEASE - POLICY LIMIT
$1 000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Cif of Ft Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Ft Collins, CO 80526-0000
AUTHORIZED REPRESENTATIVE
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S19962223/M19959060 PVRZP