HomeMy WebLinkAboutCommercial HVAC, Inc. - Insurance Certificate,4Co � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
�� 07109/2024
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), AUTHORI2ED
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 Diane Dauven, CISR
NAME:
Flood and Peterson GHONE (g70) 266-7111 F� (970) 330-1867
AIC No Ext : (A/C, No�:
PO Box 578 �;,M o����. DDauven@Floodpe[erson.com
Greeley
INSURED
Commercial HVAC, Inc.
DBA Commercial Service
587 N. DenverAvenue
Loveland
INSURER(5) AFFORDING COVERAGE
CO 80632 iNsuRERA: Union Insurance Company
iNsuRErx a : Pinnacol Assurance
INSURER C :
INSURER D :
INSURER E :
CO 80537 INSURER F :
NAIC #
25844
41190
COVERAGES CERTIFICATE NUMBER: CL247955942 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.
ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER POLICY EFF POLICY EXP
(MMIDD/YYYV MMIDD/YYVV LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S �,O00,000
DAMAGE TO RENTED 300,000
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) S
MED EXP (Any ane person) g � 0,00�
A CPA2580342-39 09/30/2023 09/30/2024 pERSONALBADVINJURV S �,000,000
GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE S 2.000,000
POLICV � PRO- ❑
JECT LOC PRODUCTS - COMP/OP AGG S Z�OOO,OOO
OTHER. S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1,000,000
Ea accident)
X ANYAUTO BODILY INJURY (Per person) 5
A OWNED SCHEDULED CPA2580342-39 09/30/2023 09/30/2024 BODILY INJURY (Per accidenq S
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE S
AUTOS ONLV AUTOS ONLV Per accident
S
x UMBRELLA LIAB X OCCUR EACH OCCURRENGE S 3,000,000
A EXCESS LIAB CLAIMS-MADE CPA2580342-39 09/30/2023 09I30/2024 AGGREGATE $ 3,���,���
DED X RETENTION $ � S
WORKERS COMPENSATION X SEATUTE E�RH
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YI N 1,000,000
B OFFICER/MEMBEREXCLUDED? � NIA 403H437 07/01/2024 O7/O1/2025 E.LEACHACCIDENT S
(MandatoryinNH) E.L.DISEASE-EAEMPLOYEE S 1,000,0��
If yes. descnbe under 1,OOO,Q00
GESGrciFT10N OF OFEf2ATiGNS �elow E.L. D�SEASE - POLICY LIMII� S
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
This certificate is issued as a matter of INFORMATION ONLY and coverages reflected are as of the date of issuance. Please note that you will not be
notified of any alterations of coverage unless you are specifcally listed as the Certificate Holder.
E
City of Fort Collins Engineering Department
281 N. College Avenue
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521 � ��
�O 1988-2015 ACORD CORPORATION. All rights reserved.
ef ACORD