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HomeMy WebLinkAbout210182 SOLID CORE PLUMBING LLC - WCq� o® CERTIFICATE OF LIABILITY INSURANCE °07/08/202 YY) o7loerzozz 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 hold er is an ADDITIONAL INSURED, the policy(ies) must 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 holderin lieu of such endorsement(s). PRODUCER ANNE LARSEN STATE FARM NAME: ANNELARGEN 304 E BASELINE RD SUITE B SfahFmm LAFAYETTE, CO 80020 APC Ne EM: 303-450-8100 IaIC,NOC 303450-8200 E MAIL ADDRESS: anne annelamen. net INSOREASi AFFORDING COVERAGE FUND INSURER A: INate Farm Fire and CasualtV COm an 46. INSURED SOLID CORE PLUMBING LLC INSURER B: PERSONAL &ADVINJURY $ 2,000,000 INSURER 1313 RESERVE DR INSURER D: PRODUCTS-COMPOPAGG $ 1,000,000 LONGMONT CO 80504-2672 A AUTOMOBILE LIABILITY ANVAUTO ALLOWNED X SCHEDULED AUTOS AUTOS HIRED AUTOSAUTOSWNED INSURER E: ❑Y INSURER F: 01 01 011152023 071152023 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, EXCLU SI ON S AND CONDITIONS OF SUCH POLI CI ES. O M ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILiR TYPE OF INSURANCE ?NSR WVO POLICY NUMBER (M MNLI DYIYYYY) NMMLODYiYYYY) LIMITS A DENERAl11ABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR Y[Y] 96-EE—Q3214 0111OM22 011122023 EACH OCCURRENCE S ),000,000 PREMISES Es occurrence S 300,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN LAGGREGATE LIM ITAPPLIES PER POLICYF—] LOC PRODUCTS-COMPOPAGG $ 1,000,000 BUSY PROP g A AUTOMOBILE LIABILITY ANVAUTO ALLOWNED X SCHEDULED AUTOS AUTOS HIRED AUTOSAUTOSWNED ❑Y ❑Y 5164339F3006D 5164338F3006 01 01 011152023 071152023 Eeacclaenl S 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) B Peracmdeni t Is UMBRELLA FIAT EXCESSFIAT OCCUR CNAIMSMADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONa a A WORMERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PRO PRIETO RPARTNEREXECUTIVE OFFICEIMEMBER EXCLUDED? NMantlalory In NET Iryes, describe under 1OPIRIPT-11 11 1-1111P 1.1.... NIA 96EJM1092 01 071152023 TORY LIM ITS ER EL EACHACCIDENT $ 500,000 ELDI SOME EA EMPLOYEE $ 500000 EITDISEASE-POLICVUMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Atlacb ACORD 101, Addhonal Remark Schedule, Rmore space is required) CERTIFICATE HOLDER CANCELLATION The Cit Of Wheat Rid Y 9e SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON DATE THEREOF, NOTICE WILL BE DELIVERED IN 7500 West 29th Ave ACCORDANCE WITH THE POLICY PROVISIONS. Wheat Ridge CO 80033 AUTHORIZED REPRESENTATIVE PE13RA DILWORTH LSA -5 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849 8 01-232013