HomeMy WebLinkAbout20022054.tiff ACORDT CERTIFICATE OF LIABILITY INSURANCE o%zzj2o 2
PRODUCER (303)776-5122 FAX (303)776-5495 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FNB Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
512 4th Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 847
Longmont, CO 80502 INSURERS AFFORDING COVERAGE
INSURED H & M Mechanical , LLC. INSURER A: The Trinity Co
108 E. Emma St. INSURER B: Sierra Insurance Group
Lafayette, CO 80026 INSURER C:
INSURER D:
I INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YY) DATE IMM/DDNY) LIMITS
GENERAL LIABILITY CPA4727842 09/10/2001 09/10/2002 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
A PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY n PRO- n LOC
JECT 1
AUTOMOBILE LIABILITY CPA4727842 09/10/2001 09/10/2002 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $ 1,000,000
ALL OWNED AUTOS
BODILY INJURY $
A SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
I OCCUR n CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION AND C1055633D 07/20/2002 07/20/2003 I ORV IMITS I I EIR
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000
B
E.L.DISEASE-EA EMPLOYEE $ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHgR CPA4727842 09/10/2001 09/10/2002 $250 deductible - total value
A Equipment Coverage $20,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Weld County 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Building & Planning BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1555 N. 17th Avenue OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
Greeley, CO 80631 AUTHORIZED REPRESENTATIVE
Shelly Sawyer/SHELLY �/ X� _]
ACORD 25-S(7/97) FAX: (970)304-6498 8
_ n 2002-2054
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