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HomeMy WebLinkAboutAPOLLO SHEET METAL INC DBA APOLLO MECHANICAL CONTR - INSURANCE CERTIFICATEAPOLSHE-01 PURLACHER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `•� 09/26/2017 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 have ADDITIONAL INSURED provisions or 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 NAME: Richland Office PHONE Paynewest Insurance, Inc. (Arc, No, Ext): (509) 946-6161 jg/c, No):(866) 215-4862 390 Bradley Blvd. ADDRESS: Richland, WA 99352 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Apollo Sheet Metal, Inc.DBA Apollo Mechanical Contractors INSURERC: PO BOX 7287 INSURER D Kennewick, WA 99336 INSURER E INSURER F Allied World Nat'l Assurance /`l1V00A!_CQ 1'=DTIC1r`ATF All IMRFD• DFVIQIt1K1 All IMRFD- 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTIRD WV MM/ D/YYYY MM/DD A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR IEPPOO44685 09/30/2017 09/30/2018 EACH OCCURRENCE_ 1,000,000 $ _ DAMAGE TO RENTED PREMI E a occurrence) 100,000 $ X MED EXP (Any oneperson) $ 10,000 Blkt Addl Insured PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X PE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ X ANY AUTO EBA0044685 09/30/2017 09/30/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ X HIRED X NON -AWNED AUTOS ONLY AUTOS ONLY _ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 X AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE 03109460 09/30/2017 09/30/2018 DIED I X RETENTION $ 10,000 $ 1 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ %F.FICERIME MBEREXCLUDED? N ( ndatory in NH) N/A 17JWS09308 10/01 /2017 10/01 /2018 PER OTH- X I STAT TE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE -EA EMPLOYEE 1,OOD,000 $ E.L. DISEASE -POLICY LIMIT 1,000,000 $ . If yes, deec�ibe under DESCRIPTION OF OPERATIONS below I D Rent/Leased Equp 6685724SEA 09/30/2017 09/30/2018 Policy Limit 1,000,000 D Installation Floater 6685724SEA 09/30/2017 09/30/2018 Policy Limit 2,065,029 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Contractor License# MP-802 City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 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 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD