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344336 LIND'S PLUMBING & HEATING INC - INSURANCE CERTIFICATE (7)
75/9/2017 E (MWDDNYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Dana Stewart, CIC, CISR Flood and Peterson A/CNN Ext: (970)356-0123 A/C No: (970)330-1867 PO Box 578 ADDRIESS•DStewart@floodpeterson.com Greeley CO 80632 INSURED Lind's Plumbing & Heating, Inc 1414 Blue Spruce Drive, Unit A Fort Collins CO 80524 INSURERS AFFORDING COVERAGE NAIC S INSURERA:The Cincinnati Insurance Co. 10677 INSURERB:Acadia Insurance Company 31325 INSURERC:Pinnacol Assurance. 41190 INSURER D:HaIIli1ton Specialty Insurance 13551 INSURER E : INSURERF: rnvGonr_Gc CERTIFICATE 1JIIMRFR-CL175917574 RFVISION N1IMRFR- 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. I LTR TYPE OF INSURANCE INgn WVQ SUER POLICY NUMBER POLICY YYY EXP MM DY YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50, 000 A CLAIMS -MADE X OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ Excluded EPP0437716 5/10/2017 5/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY I� PEA 7 LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ _ X ANY AUTO B �� ALL OWNED SCHEDULED CPA 3128454 5/10/2017 5/1/2018 BODILY INJURY (Per accident) $ AUTOS AUTOS X NON -OWNED X $ YtDAMAGE PROPERTY HIRED AUTOS AUTOS -- - Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE $ DED RETENTION$ EPP0437716 5/10/2017 5/1/2018 WORKERS COMPENSATION PER X STATUTE OERH AND EMPLOYERS' LIABILITY Y/N ANY PROP RIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 C (OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) NSA 4042794 5/1/2017 5/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Contractors Pollution Liab AHSECC10363 5/10/2017 5/1/2018 each occurence $5, 000, 000 deductible $5, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. UtH I IrK:A I t HULUthf l A1Yt CLLA I IVIY City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 P Stehle, CISR/PSTEHL P�'—I(12 © 1988-2014 ACORD CORPORATION. All rlgnts reserves. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD