HomeMy WebLinkAboutTHE HEAT EXCHANGE HEATING AIR - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
05-19-2005
IRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
�1 INS AGCY OF TN, LLC/NFIB/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND Op
241064 P: (877)242-6342 F: (877)538-8526 ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW.
P. 0. BOX 29611
CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE
INSURED INSURERA:TWln City Fire Ins Co
THE HEAT EXCHANGE HEATING &AIR INSURER B:
CONDITIONING, LLC INSURER C:
316 COMMERCE DRIVE INSURERD:
FORT COLLINS CO 80524 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 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTq DATE MM/DDIYY DATE MM/DO/YV
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire) $
CLAIMS MADE a OCCUR
MED EXP fAny one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG S
POLICY 7I PRO- LOC
JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S
ANY AUTO
(Ee accident)
ALL OWNED AUTOS
BODILY INJURY
S
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY S
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE S
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY
EACH OCCURRENCE $
_
OCCUR CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
X WC STATU- OTH-
TO Y I ITS R
A
EMPLOYERS' LIABILITY 20 WBC DW4 6 71
.. 0 8/ 0 2/ 0 5
0 8/ 0 2/ 0 6 E.L. EACH ACCIDENT
$10 0, 0 0 0
E.L. DISEASE - EA EMPLOYEE
1 $1 0 0, 0 0 0
1 55 0 0 , 0 0 0
E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION
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 (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
City of Fort Collins
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
P 0 BOX 580
REPRESENTATIVES.
Fort Collins, CO 80522
AUTHORIZED REPRESENT E
A.-Unu tD-a I ifu ll c ACORD CORPORATION 1988