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HomeMy WebLinkAboutANYTIME MECHANICAL LLC - INSURANCE CERTIFICATE (5)AC� ® DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/15/2017 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 endorsements . PRODUCER CONTACT Kathyerner NAME: y Moody Insurance Agency, Inc. PHONE (303) 824-6600 No: (303)370-0118 8055 East Tufts Avenue E-MADDRESS:kathy.werner@moodyins.com Suite 1000 INSURERS AFFORDING COVERAGE NAIC # Denver CO 80237 INSURER A:Westfield Insurance CouIPany 24112 INSURED INSURER B :Pinnacol Assurance 41190 Anytime Mechanical, LLC INSURER C PO BOX 746211 IUQ11090A IARVADA CO 80006 INSURERF: COVFRAC;FS CFRTIFICOTF NIIMRFR•17-18 Forms RFVISION Nl1MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF4NSURANCE 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 PGRTAIN;, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Or SUCH POT,{ _ESS.:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM MM X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE A OCCUR DA AGE To RENTED PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person) $ 5,000 CWP7844631 8/21/2017 8/21/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO JECT E LOC X PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COEaMBINED accident SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OSCHEDULED AUTOS AUTOS CWP7844631 - 8/21/2017 8/21/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DED I X RETENTION$ 0 $ CWP7844631 8/21/2017 8/21/2018 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBER EXCLUDED? L y (Mandatoryin NH) N / A 4196007 9/28/2016 10/1/2017 X I SPER OTH- TATUTE ER $ 1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 l yes, describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equipment CWP7844631 8/21/2017 8/21/2018ILimit 30,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANL;tLLA I IUN City of Fort Collins 300 LaPorte Ave. Fort Collins, CO 80521 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 Kathy Werner/KATWER� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)