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HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (14)75/8/2017 TE (MM/DD/YYYY) AIR" 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). FF DUCER NAME: CindyZimmerman, CISR NAME: ood and Peterson AFA / NN Ext: 970-266-7155 AJC N0:970-506-6845 Box 578 E,Mel«,.CZimmerman@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC If Greeley CO 80632 INSURERA:Acadia Insurance Company 31325 INSURED INSURERB:Pinnacol Assurance 41190 Kahar Plumbing & Heating, Inc. INSURER C: 6772 & 6766 North Franklin Avenue INSURERD: INSURER E : Loveland CO 80538 INSURER F: COVFRAGFS CERTIFICATE NUMRFR-CL175817565 REVISION NUMRER- 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. IR - TYPE OF INSURANCE LTR LT ADDL SUER POLICY NUMBER MO DDY EFY MWDIDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE _X OCCUR DAMAGE TA RENTED PREMISE SESOEa occur ence $ 300,000 MED EXP (Any one person) $ 10,000 CPA306323023 5/19/2017 5/19/2018 PERSONAL & ADV INJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PEA D LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ X ANY AUTO A BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED _ AUTOS AUTOS CPA306323023 5/19/2017 5/19/2018 PROPERTY DAMAGE $ NON -OWNED HIRED AUTOS AUTOS Per accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE ED X RETENTION$ 0 $ CPA306323023 5/19/2017 5/19/2018 WORKERS COMPENSATION X PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY YEN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NSA. 1542230 7/1/2016 7/1/2017 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as additional insured (Excluding workers compensation). City of Fort Collins Utilities PO BOX 580 Fort Collins, CO 80522-0000 l;ANI;tLLA I IUN 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 C Zimmerman, CISR/CZI © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INSf17S_(�MI tim-'—