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HomeMy WebLinkAbout202262 J&M PLUMBINGMaster Plumber Exp 02.28.23®COLORADO Department of Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_ dpo_licensinggstate.co.us. Division of Professions and State Plumbing Board Jonathan M Swenson Master Plumber MP.03000599 03/01/2021 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov Division of Professions and State Plumbing Board Jonathan M Swenson Master Plumber MP.03000599 03/01/2021 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov COLORADO �/ Department of co �T�Y Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_dpo_licensinggstate.co.us. Division of Professions and State Plumbing Board 1&M Plumbing Plumbing Contractor PC.0004245 03/01/2021 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov Division of Professions and State Plumbing Board 1&M Plumbing Plumbing Contractor PC.0004245 03/01/2021 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov /% ACORD CERTIFICATE OF LIABILITY INSURANCE `,/ �ATE�MhV�6`VVY'Q 1 0412812022 THIS CERTIFICATE IS ISSUED AS R 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 R 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. ((SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. R statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs�, vRooucER coNracr Ja�ed Kaufman NAME: �cNN � (303915-0363 TFAX�No: KaufmanRgeocy E-MAIL a�etlkauf mail.com ADDRESS: @9 13101WJewell Ave. Unit284 INSURERSAFFORDING COVERAGE NAICq EACH OCCURRENCE iNsuRERp;GeminilnsuranceCompany DAMAGE RENTED PREM SESOEa occui nce Lakewood X080228 INSURED INSURER B: PI002CONSSUC20CE INSURER C: Clear Blue Specialty Insurance Company PERSONAL & ADV INJURY J&M Developme�l INSURER D; GU2fQ1OSUm�CB GENERAL AGGREGATE 1199$.fiUf00$1. INSURER E: $ 2,000,000 INSURER F: D D20V2C CO E0223 COVERAGES CERTIFICATE NUMBER; 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. (NSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF M� DD YYYV MLICY � DD YYYICY Y LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X VIGPO20332 1012012021 1012012022 EACH OCCURRENCE $ 110001000 DAMAGE RENTED PREM SESOEa occui nce $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; POLICY X PRO � LOC JECT OTHER; GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ D AUTOMOBILE XHIRED LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS X NON,OWNED AUTOS ONLY AUTOS ONLY X X JMAU231470 0610912021 0610912022 COMBINED SINGLE LIMIT Ea accident $ 1000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X WC31000105301 0311212022 0311212023 EACH OCCURRENCE $ 210001000 AGGREGATE $ 2,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPRRTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? HN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IA X 4228688 0210112022 0210112023 x SPER TATUTE ORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - ER EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 01988.2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, City of Wheal Ridge Building DNisioo 1500 W. 291h Ave AUTHORIZED REPRESENTATIVE Denver CO 80033 01988.2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD