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Home My WebLink About210511 ELEMENT MECHANICAL SOLUTIONSSKM_C45822081110530City-and.County of Denver Community Planning and Development www.derivergov. org/contractor licensing. Issued To: ELEMENT MECHANICAL SOLUTIONS LLC 103461111 LAMBUTH PL LAKEWOOD, CO 80235 License/Registration Number., Expiration Date: 01/31/2025 License Type:_ H & V A LIC00245901 By Authority of the Executive Director of Community Planning and Development —Amount Fund/Org/Revenue Code Payment Date Trans # Status $250.00 R353900 -*-01010-0141200 01/27/2022 8711741 ?aid RENEWAL INFORMATION Renewal notices wilTbe.e-mailed to e-mail address on R@newal information is. available at www.donvergov.org/Contractor_Li,consing. INSPECTION INFORMATION Inspection requests called in by 12:00 a.m. will usually be scheduled for the`following working day. Please provide the following information when you call for an inspection: 4 Permit number J Type of inspection and inspection code Automated Inspection Request System: 720-865-2501 Inspections are performed Monday through Friday. Mallet Contractor ID Card: MUST BE KEPT IN YOUR POSSESSION AT ALL TIMES. Cut on outside of line, then fold in half. City and County of Denver City and County of Denver _ Community Planning and Development IDENTIFICATION CARD 201 W COLFAX AVE DEPT 205 _ DENVER, COLORADO 80202 License/Registration LIC00245901 No.: This is to certify that ELEMENT MECHANICAL. SOLUTIONS'LLC has . TM WLE HIGH CITY DENVER been issued a H & V A license in the City and County of Denver, beginning on 27 January 2022 and ending on 31 Jan 2025, unless Licenses & Certificates: 720.865.277b_ license is revoked.- Permit Counter: 720.865.2720 Ipspection Administration: 720.865.2505 By Authority of the Executive Director of Automated Inspection Request: 720.865.2501 Community Planning and'Develo ment LIC,,100.(4/100) LPDA COVERAGES CERTIFICATE NUMBER: CL2221438713 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 08/11/2022 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 Sally S Schey NAME: The Ahbe Group/ Sally Schey A/CON(303)232 -0553 FAX(303) 232-9442 MM/DD/YYYY No, Ext): No : 7167 S Alton Way E-MAIL ADDRESS: X COMMERCIAL GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # Centennial CO 80112 INSURERA: Owners 32700 INSURED INSURER B INSURER C: Element Mechanical Solutions Llc 10346 W Lambuth PI INSURER D: Unit B INSURER E: Lakewood CO 80235-1118 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2221438713 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 ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W 29th Ave. AUTHORIZED REPRESENTATIVE POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR PREM SES Ea occurrDence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV I NJ U RY $ 1,000,000 A 74144651 01/23/2022 01/23/2023 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY ❑ JECT F—]LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Premises/Operations $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 74144651 01/23/2022 01/23/2023 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident XHIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEElNIA OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Inland Marine A 74144651 01/23/2022 01/23/2023 5,000 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 Wheatridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W 29th Ave. AUTHORIZED REPRESENTATIVE Wheatridge CO 80033 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I City Of Wh6atP.,JcdhT, Z!!5 COMMUNITY DEVELOPMENT 7500 W. 29t" Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name), es verify that I am the sole owner or partner of (company name): which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire contractors/subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor's license from the City of Wheat Ridge. Signature: Date: