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HomeMy WebLinkAbout210457 DENVER PRO MECHANICALACORD Form 20220601-102740 (1)_Page_1COVERAGES CERTIFICATE NUMBER: 21-22 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DDIYYYY) INSR LTR 06/01/2022 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 Moody Insurance Agency NAME: Moody Insurance Agency, Inc. (303)824 -6600 FAX aCNN o (303) 370-0118 Ext): No): 8055 East Tufts Avenue E-MAIL certrequest@moodyins.com CLAIMS -MADE 7 OCCUR ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 1000 Denver CO 80237 INSURERA: Westfield Insurance Company 24112 INSURED INSURER B: Plnnacol Assurance 41190 INSURER C: Denver Pro Mechanical, Inc. 21022 E Jefferson Cir INSURER D: INSURER E: Aurora CO 80013 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE 7 OCCUR PREM SES Ea occurrDence $ 500,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 A CWP039788C 07/01/2021 07/01/2022 GEN' LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY ❑X JECT F—]LOC PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ X ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS CWP039788C 07/01/2021 07/01/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4218367 07/01/2021 07/01/2022 SPER TATUTE EORH X1 1'000'000 E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Ave. AUTHORIZED REPRESENTATIVE Wheat Ridge CO 80033 11A o, '' �.�Q °"�QQ�� A/ �`'`�S�C © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACCMa Li AGENCY COSrOMERID: 00041490 LOC W: ADDITIONAL REMARKS SCHEDULE Rage er FORM TIRE CebRlcale of Liability Insurance: Notes entities required by contract are included in the below mrmsenaorsememS` Yet Liability m form co 2010 0413 when required by warren contact to the extent provided in form CO zo 310413 when required by written contact applies only to the edam proceed in form co 7137121-/ when required by written contact and Noo-Contrmuiory status only to the extent provided in form CO 7137 12 17 when required by written contact. sit P rolect o eneal Aggregate applies only to the extent provided in form co25 03 05 09 when required by wrmen contact applies only to the Eden proceed In form 359B when required by written contact besent via emailonly To obtain copies, please send your request with the email address to cehrequeA@moodyme com The ACORD name and logo are registered real ofACORD D FORM TIRE CebRlcale of Liability Insurance: Notes entities required by contract are included in the below mrmsenaorsememS` Yet Liability m form co 2010 0413 when required by warren contact to the extent provided in form CO zo 310413 when required by written contact applies only to the edam proceed in form co 7137121-/ when required by written contact and Noo-Contrmuiory status only to the extent provided in form CO 7137 12 17 when required by written contact. sit P rolect o eneal Aggregate applies only to the extent provided in form co25 03 05 09 when required by wrmen contact applies only to the Eden proceed In form 359B when required by written contact besent via emailonly To obtain copies, please send your request with the email address to cehrequeA@moodyme com The ACORD name and logo are registered real ofACORD