HomeMy WebLinkAboutNEUWORKS MECHANICAL INC - INSURANCE CERTIFICATE (7)A� " CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
5/31/2017
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).
PRODUCER
Flood and Peterson
PO Box 578
Greeley CO 80632
CONTACT Jennifer Winter, CISR
NAME:
PHONE (970)506-3206 AXNo:(970)506-6846
ADDRESS:JWinter@floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Union Insurance. Company
25844
INSURED
Neuworks Mechanical, Inc.
241 Racquette Drive
Fort Collins CO 80524
INSURER B :Pinnacol Assurance
41190
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:CL1753117991 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 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
J DL
VD
POLICY NUMBER MM/DDIYYYY
MM I DIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000.
A
CLAIMS -MADE ❑X OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence)$
300,000
X
MED EXP (Any one person)
$ 10,000
PD Ded: 1 , 000
,
CPA306479823
6/1/2017
6/1/2018
PERSONAL BADVINJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
PR -
POLICY FX ] ECT LOC
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
ALL OWSCHEDULED
AUTOS
X RED AUOWNED TOS X NON -OWNED
HIAUTOS AUTOS
CPA306479823
6/1/2017
6/1/2018
BODILY INJURY (Per accident)
$
POP 7Z DAMAGE
$
$
X Drive Other Car i
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
A
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION$ 0
$
CPA306479823
6/1/2017
6/1/2018
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N
OFFICER/MEMBER EXCLUDED? y
(Mandatory in NH)
N/A
4167336
6/1/2017
6/1/2018
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
$ 1.000 000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
If yes describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Contractors License #MP-724
(;tK 1 IF IGA It MULUtK l+/11Y1 GLLN I IVIY
(970)224-6134
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80526
AUTHORIZED REPRESENTATIVE
ACORD 25 (2014/01)
INS025 onl4011
J Winter, CISR/JWINTE
U 1983-2014 ACORD CORPORATION. All rlgnts reservea.
The ACORD name and logo are registered marks of ACORD