HomeMy WebLinkAboutHOMETOWN HEATING & AIR INC DBA WELZIG MECHANICAL - INSURANCE CERTIFICATE (4)a DATE WM,DD'YYYY)
AC"R" CERTIFICATE OF LIABILITY INSURANCE
77/19/2018
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: Pat Deaver
TrueNorth Companies, L.C. PHONE FAx
275 S Main Ste 100 303 774-2954 A!c No : 303-778-5495
Longmont CO 80501 ADDRESS: pdeaver@truenorLhcompanies.corrl
INSURER(S) AFFORDING COVERAGE
32700
INSURED HONIEHEA- [ INSURERB:
Hometown Heating & Air, Inc dba Welzig Mechanical,
1831 Boston Avenue.. # D INSURER C :
Longmont CO 80501 I INSURER D
INSURER F :
rnVPRAr;FS rPPTIFICATF NUMRFR•IrQR1nrAA1 REVISION NUMBER:
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 ~� A I
POLICY NUMBER POLICY EFF POLICY EXPLTR LIMBS
A X : COMMERCIAL GENERAL LIABILITY
74432747 8412018 8/9/2019 EACH OCCURRENCE $1.000,000
CLAIMS -MADE LK OCCUR
PREM SES Ea ocxu rence $ 3001000
MED EXP (Any one son $10,000
PERSONAL a ADV INJURY $1,000,0oD
GEN% AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2.000,000
POLICY I JEC X j LOC
PRODUCTS - COMPlOP AGG $ 2,000,000
OTHER:
$
A
AUTOMOBILE LIABILITY
5043274700
8/912018
8/9/2019
COMBINED SINGLE LIMIT
Ea ax dent)
$1,000,000
BODILY INJURY (Per person)
$
_
X ANY AUTO
OWNED SCHEDULED
AUTOS_____._HIRED NON -OWNED
AUTOS ONLY P�x
AUTOS ONLY_ AUTOS ONLY
BODILY INJURY (Per aockient)
PROPERTYDAMAGE$
Per accident
$
.....................
A
UMBRELLA LIAB
X
OCCUR
74432747
8/912018
8/912019
EACH OCCURRENCE
$__�_�_
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DED RETENTION
B
WORKERSCOMPENSATION
AND EMPLOYERS' LIABILITY
Y / M ANYP ROPRIETOR'PARTNER. EXECUTIVE
4141577 8;1/2018
81IJ2019
X pI, R
$ 500 000
E.L. EACH ACCIDENT
_
E.L. DISEASE • EA EMPLOYEE
-
$ 500,000
OFFICER, MEMBER EXCLUDED?
(Mandatory In NH)
M/A
E.L. DISEASE - POLICY LIMIT
$ 500.000
If xes. describe under
ID SCRIPTiON OF OPERATIONS below
DESCRIPTION OF OPERATIONS , LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, maV be attached if more space is required)
rGRTImrATF Wn1 r1FR CANCFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80526
USA
Q� 191313-ZUly AC:UHU C:UI FUKA I IVN. An rlgnis reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD