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HomeMy WebLinkAboutHOMETOWN HEATING & AIR DBA WELZIG MECHANICAL - INSURANCE CERTIFICATE�� 0 DATE (MMIDDIYYYY) A C" CERTIFICATE OF LIABILITY INSURANCE 8/2/2017 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 endorsements . PRODUCER CONTACT NAME: Pat Deaver TrueNorth Companies, L.C. PHONE FAx 275 S Main Ste 100 Not). 303-774-2954 (A/C.No)• 303-776-5495 Longmont CO 80501 E-MAIL . pdeaver@truenorthcompanies.com INSURED HOMEHEA-02 Hometown Heating & Air, Inc dba Welzig Mechanical, 1831 Boston Avenue, # D Longmont CO 80501 I INSURER(S) AFFORDING COVERAGE I NAIC 8 1 A:Owners Insurance Col B : Pinnacol Assurance C C: INSURER E rn\/GDAr,FC rFDTIPIr_ATF IUIIMRFD- 1CI10R2240 DP11VZIntu fdlIRARGD• 700 190 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 I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I SD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR 74432747 8/9/2017 8/9/2018 EACH OCCURRENCE_ $1,000,000 AMAGE OR TED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $10,000 AGGREGAT E LIMIT APPLIES PER: POLICY —X_.I JECT LOC OTHER: PERSONAL & ADV INJURY $1,000,000 GENT GENE_RALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY LAUTOS ONLY 5043274700 8/9/2017 8/9/2018 uMBiNFu SINGLE LIMIT dent $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X GE-- Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE E DED , RETENTION E $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ityes, describe under DESCRIPTION OF OPERATIONS below N/A 4141577 8/1/2017 8/1/2018 X SOER - STATUTE T E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 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 CANCELLATION City of Fort Collins PO Box 580 Fort Collins CO 80526 USA 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 � 7 ! © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD