HomeMy WebLinkAboutNORTHERN COLORADO AIR INC - INSURANCE CERTIFICATEClient# 35058
NC:AIR
ACORD,. OF LIABILITY
INSURANCE
CERTIFICATE
12114107D1Yvvq
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
Northern Colorado Air, Inc
Northern Colorado Air of Longmont, Inc
812 Stockton Avenue
Fort Collins, CO 80524
INSURER Continental Western Group
INSURER B Piilnacol Asswance
INSURER C
INSURER
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 AFFORDE-D BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM i EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN,MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTft
ADD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MMIDDNf
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIA131LITY
CLAIMS MADE � OCCUR
X PE Ded 500
CWP249776624
01/01/08
01/01/09
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
$100QOO
MED EXP (Any one person)
$5 000
PERSONAL &ADV INJURY
$1 00Q 000
GENERAL AGGREGATE
s2,000,000
_
GEN L AGGREGATE LIMIT APPLIE S PER
POLKY J<I ECT n LOC
PRODUCTS-COMPIOP AGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON OWNED AUTOS
CWP249776624
01/01/08
01/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,oOO
X
BODILY INJURY
(Per Person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
—
GARAGE LIABILITY
ANV PUTO
AUTO ONLY ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGO
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS Mi
DEDUCTIBLE
X RETENTION $ Q
CU250680523
01/01/08
01/01/09
EACH OCCURRENCE
s2000000
AGGREGATE
$2 000 000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
It yes describe under
SPECIAL PROVISIONS below
4038257
01/01/0$
01/01/09
X WCSTATU- oTH-
EL EACH ACCIDENT
$1,000,000
EL DISEASE - EA EMPLOYE
$1,000,000
EL DISEASE -POLICY LIMIT
$1,000,QOQ
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate holder is named as additional insured, but only as respects
liability arising out of work performed by the named insured (Excluding
Workers' Compensation)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/03) 1 of 2 #M400911 NCB 0 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)
f176Zy 11111i
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing m8urer(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
ACORD 25-S (2001/08) 2 of 2 #M400911