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HomeMy WebLinkAbout210489 ELEVATION PLUMBING LLC765607DC-CA60-4079-833F-3636A36748CB (1)s0 ai M 0 EC;t fco ffy cu L (U m w -� 0 72 a , t Lo AP on 01 4 v O w Iz 00 SO > �^„ tag f.► u tow L;Am V w al c o je to ;o a ` ' a ..a :1 ca ro P. a tib MM to M C a P. a tib MM to M V W Q 2 N ro N D 0 O ry ... r Go Cl wwo x Co ko s LW Aj m i) L Cj L V �LO I A�� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 7/12/2022 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 GUNIAGI NAME: Stephanie DelaRosa A to Z Insurance Services PHONE FA 303 399 4545 A1C, No, Ext): (A1C, No): ADDRESS: atoz-stephanie@outlook.com 10660 E BETHANY DR BLDG 2 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: PREFERRED CONTRACTORS INS CO RRG LLC 12497 AURORA CO 80014 INSURED INSURER B: SIRIUS AMERICA INS CO 28363 INSURER C: Elevation Plumbing & Heating Inc. INSURER D: 10477 MOBILE WAY INSURER E: 1INSURER F: COMMERCE CITY CO 80022 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE D OCCUR 177- PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y PCA5043-PC426211 03/01/2022 03/01/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x POLICY JjRO- ECT 7 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER I AUTOMOBILE LIABILITY (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PHOPEH I Y UAMAGE $ (Per accident) UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB HOCCUR CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? Y NIA WC 89957 00 03/01/2022 03/01/2023 STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Wheat Ridge, is added as an additional insured. CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (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 West 29th Avenue AUTHORIZED REPRESENTATIVE Wheat Ridge CO 80033 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD