HomeMy WebLinkAboutCLIMATE MASTERS - INSURANCE CERTIFICATE (2)ACORD�
CERTIFICATE OF INSURANCE
ISSUE DATE
12/20/2004
PRODUCER
MCGRIFF, SEIBELS & WILLIAMS
5949 Sherry Lane
Suite 1300
Dallas, TX 75225-6532
(469) 232-2100
OF TEXAS, INC.
This certificate is issued as a matter of information only and confers no rights
upon the Certificate Holder. This Certificate does not amend, extend or alter the
coverage afforded by the policies below.
COMPANIES AFFORDING COVERAGE
Company
A ACE American Insurance Co
INSURED
Climate Masters Service LLC
9700 Nelson Road
Longmont, CO 80501
Company
B
Company
C
Company
D
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO
LT
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE
EXPIRATION
LIMITS OF LIABILITY
A
GENERAL LIABILITY
[91 Commercial General Liability
❑ Claims Made ® Occurrence
❑ Owners' and Contractors' Protection
❑
❑
General Aggregate Limit applies per:
® Policy ❑ Project ❑Location
CGOG19904623
12/3112004
12/31/2005
EACH OCCURRENCE
$ 1.000,000
FIRE DAMAGE
$ 1,000,000
MEDICAL EXPENSE
excluded
PERS. AND ADVERTISING INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS AND COMP. OPER. AGG.
see below
A
AUTOMOBILE LIABILITY
® Any Automobile
❑ All Owned Automobiles
❑ Scheduled Automobiles
❑x Hired Automobiles
p Non -owned Automobiles
❑
SCAH08004651
12131/2004
12/31/2005
COMBINED SINGLE LIMIT
$ 2,000,000
BODILY INJURY (Per person)
BODILY INJURY Per accident
PROPERTY DAMAGE (Per accident)
COMPREHENSIVE
$1000 deductible
COLLISION
$1000 deductible
A
WORKERS' COMPENSATION
AND EMPLOYERS' LIABILITY
RSCG44175320 (All
States/Stop Gap Included)
12/31/2004
12/31/2005
WC Statutory Limit I x I Other
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE (Each employee)
$ 1,000,000
EL DISEASE (Policy Limit)
$ 1,000,000
EXCESS LIABILITY
❑ Occurrence [Claims Made
EACH OCCURRENCE
AGGREGATE
A
PRODUCTS/COMPLETED OPS.
CGOG19905330
12/31/2004
12/31/2005
Aggregate Limit
$ 6,000,000
Occurrence
$ 2,000,000
CERTIFICATE HOLDER
CITY OF FORT COLLINS
P.O. BOX 580 FORT
FORT COLLINS, CO 80522-0380
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR
REPRESENTATIVES.
Authorized Representative
1 4:5
Certificate lD: R16Z-1GJ