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HomeMy WebLinkAboutAIR WEST ENTERPRISES - INSURANCE CERTIFICATE----- ORQ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYV) 03/14/2005 PRODUCER (303)824-6600 FAX (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3773 Cherry Creek North Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver, CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED A i r West Enterpr i ses , I nc - INSURER A. Employers Mutual Co 21415 - Air West Mechanical -Casualty INSURERS Pinnacol Assurance 41190 2855 South Raritan Street INSURERG Englewood, CO 80110 INSURER INSURER E 11r91TIy:7'TeT79 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. INSR A66-L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OAT Ainnry-yi LIMITS GENERAL LIABILITY 3X1064006 01/01/2005 01/01/2006 EACH OCCURRENCE $ 1 000 pop COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100000 CLAIMS MADE IX] OCCUR ISESJEa occurence) __ ____: _. —I MED EXP (Any one person( $ 5,000 A X B I kt Add I I nsrd PERSONAL & ADV INJURY $ 1,000,000 - - - GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT AP PLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC - - AUTOMOBILE LIABILITY 3X1064006 01 /01 /2005 01 /01 /2006 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) ----_ 1,000,000 ALL OWNED AUTOS - BODILY INJURY $ A SCHEDULED AUTOS (Per person) X HIRED AUTOS -- BODILY INJURY $ X NON -OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - - -- - OTHER THAN EA ACC -- _- - $ - - -- AUTO ONLY. AGG - - ---- $ EXCESSIUMBRELLA LIABILITY 3X1064006 01 /01 /2005 01 /01 /2006 EACH OCCURRENCE $ 1,000,000 X1 OCCUR CLAIMS MADE AGGREGATE $ 1 , 000 000 A , DEDUCTIBLE dRETENTION _-- ��-- ---- $ X $ $ WORKERS COMPENSATION AND 4028180 04/01/2005 04/01 /2006 X WCSTIA OTH- EMPLOYERS'LIABILITY TO@Y ___.- ER - B ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER E%CLUDED7 E.L. DISEASE - EA EMPLOYE _ $ 1 000, 000 If yes, describe under --- -- -- -- , SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS E: Contractors License Renewal H1367 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City Of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 281 North College Avenue BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE Sandra Thomas, CIC/SKT AGUKU Z5 (ZOU1708) ©ACORD CORPORATION 1988