HomeMy WebLinkAboutMETRO AIR - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE METRO-2 DATE (3 0 )
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CRS Insurance Brokerage HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6600 E . Hampden Ave., 2nd Flr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80224
Phone:303-996-7800 Fax:303-757-7719
INSURED
Metro Air Conditioning LLC
23504 E Clifton Pl
Aurora CO 80016
INSURERS AFFORDING COVERAGE
INSURERA: Mountain states Insurance
INSURER B:
INSURER C:
INSURER D:
NAIC #
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
NSR
TYPE OF INSURANCE
POLICY NUMBER
P LI Y EFFE TIVE
DATE MM/E
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CPP009750101
01/01/04
01/01/05
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES Ea accurence
$100,000
MED EXP (Any one person)
$ 10 , 000
PERSONAL 8 ADV INJURY
I $ 1 , 000 , 000
GENERAL AGGREGATE
$ 2 , 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
JECT LOC
�PRODUCTS-COMP/OP AGG
$2,000 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP009750101
01/01/04
01/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 00Q 000
i
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
ANY AUTO
I
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
S
$
EXCESSIUMBRELLA LIABILITY
OCCUR ❑ CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
S
AGGREGATE
S
$
S
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If y
SPes, describe under ECIAL PROVISIONS below
!
TORV LIMITS �C-(i 1
E.L. EACH ACCIDENT S
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT I S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80501 REPRESIENTATIVES. -
ACORD 25 (2001/08) 0 ACORD CORPORATION 19R