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HomeMy WebLinkAboutKAHAR PLUMBING & HEATING INC - INSURANCE CERTIFICATE (15)7TE (MM/DDlYYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT CindyZimmerman, CISR NAME: Flood and Peterson PHONE. xt : g70-266-7155 FAXA/C No 970-506-6845 A/ NE PO Box 578 ADDRESS-CZimmerman@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURED Kahar Plumbing & Heating, Inc. 6772 & 6766 North Franklin Avenue IINSURERA:Acadia Insurance Company 131325 1 C: Loveland CO 80538 1 INSURERF: rn\tFRAnFc r'FRTIFICATF MIIFARFR•CL1753117995 RFVISInN NIIMRFR- 41190 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 TYPE OF INSURANCE imgn wyn POLICY NUMBER MOLI LTR DNYYY MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE(RENTED 'PRE' VISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 X CPA306323023 5/19/2017 5/19/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- LOC JECT OTHER: PRODUCTS - COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COEaMBINED ccident SINGLE LIMIT a $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO A ALL OWNED 77 SCHEDULED AUTOS AUTOS CPA306323023 5/19/2017 5/19/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON --OWNED HIRED AUTOS AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION 0 $ CPA306323023 5/19/2017 5/19/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE X PER H- STATUTE ER E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? B (Mandatory in NH) N/A 1542230 7/1/2017 7/1/2018 E.L. DISEASE - EA EMPLOYE $ _ 500, 000 If yes, describe under DESCRIPTION OF OPERATIONS below LE . DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate holder is named as additional insured (Excluding workers compensation). GEHTIFIGA I E HULUEH I.ANULLLA I IUIV City of Fort Collins Utilities PO BOX 580 Fort 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 ACORD 25 (2014/01) INS025 (201401) C Zimmerman, CISR/CZI 4 — a. � ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD