HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (2)Client#: 38722
AIRCO2
ACORD- CERTIFICATE OF LIABILITY
INSURANCE
0088/08107DnrYY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Air Comfort, Inc.
150 Rome Ct
Fort Collins, CO 80524
INSURER A: Employers Mutual Casualty Company
INSURER BPinnacol Assurance
NSURER C:
INSURERD.
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
INSRE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXI OCCUR
2D9483308
08/05/07
06/01/08
EACH OCCURRENCE
$1000000
DAMAGE TO RENTEDPREMISES Ca occurrence)
$300OOO
MED EXP (AnY one person)
$5 000
PERSONAL &ADV INJURY
$1000000
GENERAL AGGREGATE
$2 00Q 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- LOC
JECT
PRODUCTS - COMPIOP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUT08
NON -OWNED AUTOS
21119483308
08/05/07
06/01/08
COMBINED SINGLE LIMIT
(Ea accident)
E1,000,OOO
X
BODILY INJURY
(Per person)
E
X
BODILY INJURY
(Per accident)
E
X
PROPERTY DAMAGE
(Per accident)
E
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
2J9483308
08/05/07
06/01/08
EACH OCCURRENCE
s4,000,000
AGGREGATE
s4,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED'
If yeS, describe un
SPECIAL PROVIStlIONS below
4041318
06101/07
06/01/08
X wcSTATU- oTR
ELEACIT ACCIDENT
$1,000,000
EL DISEASE - EA EMPLOYEE
$1,000,000
E L DISEASE POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Certificate Holder is named as an Additional Insured.
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
TAᅵUmu cD IcuUT/Uel 1 Of 2 #5389765/M389757 JZS o ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AGORD 25-5 (2001108) 2 of 2 #S389765/M389757