HomeMy WebLinkAboutLEMONS HEATING COOLING - INSURANCE CERTIFICATEACORDMi:/.; ���
DATE IMM/DD YYI
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09 16 03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CROSSROADS INSURANCE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. BOX 1010
COMPANIES AFFORDING COVERAGE
AULT , CO 80610
(970) 834-1337 FAX: 834-1393
COMPANY
A COLORADO CASUALTY INSURANCE COMPAN
INSURED
COMPANY
LEMONS HEATING & COOLING
B PINNACOL ASSURANCE
JERRY & CARRI LEMONS
COMPANY
417 MAGNOLIA COURT
C
EATON, CO 80615
COMPANY
D
GOAD. .:.::.:::.:: .... .
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMM/DD/YYI
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
s2,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 11 OCCUR
PRODUCTS - COMP/OP AGG
$2 , 0 0 0 , 000
PERSONAL & ADV INJURY
$1 , 000, 000
A
OWNER'S& CONTRACTOR'S PROT
AP-0541200-02
09/10/03
09/10/04
EACH OCCURRENCE
$1, 000, 000
FIRE DAMAGE (Any one fire)
$ 50, 000
MED EXP (Any one person)
$ 5, 000
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$
BODILY INJURY
IPer person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
N/A
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
j
N/A
EACH ACCIDENT
$
AGGREGATE
$
—
EXCESS LIABILITY
UMBRELLA FORM
N/A
EACH OCCURRENCE
$
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: X EXCL
4066941
02/13/03
02/01/04
X I WC STATU- OTH-
T RY LIMITS ER
EL EACH ACCIDENT
$10 0 , 000
EL DISEASE - POLICY LIMIT
$500 000
r
EL DISEASE - EA EMPLOYEE
$1 0 0 , 0 0 0
OTHER
DESCRIPTION OF OPERA TIONSILOCATIONSNEHICLES/SPECIAL ITEMS
HEATING & AIR CONDITIONING
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FT. COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
P.O. BOX 580
110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FT. COLLINS, CO 80522-0580
FAX ## (9 7 0) 2 2 4 — 613 4
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE