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Home My WebLink AboutCANYON MECHANICAL INC - INSURANCE CERTIFICATE (8)l ® A CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 9/29/2016 1..' 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 CONTACT Javier Perez NAME: PHONEE.t ( 9 7 0 ) 356-0123 (AIC No: (970)330-1867 ADOREss: iPerez@FloodPeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURERAOhio Casualty Insurance Company 24074 Greeley CO 80632 INSURED Canyon Mechanical, Inc. INSURER B :PeerleSS Indemnity Insurance 18333 INSURERC:Pinnacol Assurance 41190 INSURER D : P 0 BOX 327 INSURER E : INSURERF: Berthoud CO 80513 COVERAGES �cm I Iri%.,m r r- i4ulvl ------------ 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 A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR A D UBR POLICY NUMBER BKS1555648252 POLICY EFF MM/DD/YYYY 10/14/2016 POLICY EXP MM/DD/YYYY 10/14/2017 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY X JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS BA2019911 10/14/2016 10/14/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Medical Davments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I RETENTION $ WORKERS COMPENSATION PERtOTH- X STATUER E.L. EACH AT $ 100 000 AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASMPLOYE $ 100000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4001984 6/1/2017 6/1/2018 E.L. DISEASE - POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is named as an additional insured as their interest may appear in reference to the named insured's operations. (Excluding Workers Compensation) r II:A I t City of Ft. Collins P.O. Box 580 Ft Collins CO 80522-0000 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 Javier Perez/JPEREZ � A- ^^AA cannon nnoono ATWIM All rinhfc rpSPrvOd ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 nmann