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Home My WebLink AboutMISTER B'S HVAC INC - INSURANCE CERTIFICATE (4)ACOR I ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07252017 I 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTCT NAME:ACLIENT CONTACT CENTER A CNNo Ext : 888-333-4949 A,c No): 507-446-4664 E-MAIL AODREss: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 342-538-6 INSURER B: INSURER C: MISTER B'S HVAC INC PO BOX 21756 CHEYENNE, WY 82003-7045 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 49 REVISION NUMBER: 0 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X MED EXP (Any one person) BUSINESS OWNER'S LIABILITY PERSONAL & ADV INJURY $1,000,000 A N N 9246984 09/08/2017 09/08/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 �OTHER: POLICY ❑ PRO ❑ LOC JECT PRODUCTS -COMP/OP AGG $Z,000,OOO AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acciden $1,000,000 BODILY INJURY (Per person) X ANY AUTO A SCHEDULED OWNED AUTOS ONLY SCHEDULED AUTOS N N 9246985 09/08/2017 09/08/2018 BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident NON -OWNED HIRED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 A EXCESS LIAB CLAIMS -MADE N N 9246986 09/08/2017 09/08/2018 DED RETENTION PER STATUTE OTH- ER A ANB EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N I A N 9246984 09/08/2017 09/08/2018 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) E.L DISEASE - POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) STOP -GAP (EMPLOYER'S LIABILITY) COVERED STATE(S) WY ^EnTICU^ATC unl ncD CANCELLATION 342-538-6 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 490 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 Cc) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD