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HomeMy WebLinkAboutMLS AIR CONDITIONING INC - INSURANCE CERTIFICATECl7cnt#• 17181 MI AAI ACORD,,., CERTIFICATE OF LIABILITY INSURANCE DAT2ao8E (/08OYYYY) oa/ PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive P O Box 270370 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ Fort Collins, CO 80527 ------ INSURERS AFFORDING COVERAGE NAIC# N..._..___._._.__....__ INSURED...... SURED MLS Air Conditioning Inc. 546 8th St S.E. #Bldg. B, Suite 6 Loveland, CO $0537.6455 (NSURERA; Auto -Owners Insurance Group INSURERFI; Pinnacol Assurance INSURER C: INSURERD: INSVRERE: 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 LIM[FS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR NBR j TYPE OF INSI)RANCE _.._. POLICY NUMBER POLICY EFFECTIVE DATE MMIDO/YY POLICY EXPIRATION DATE�IDpIYY),. .,__.. LIMITS_ A GENERAL LIABILITY 0546327400195408 04/27/08 04/27/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY _ :] CLAIMS MADE a]OCCUR DAMAGE : TO RENTED PREM6 ' F ocxorrencel _ 5300 OOO MCI) EXP (Any one person) S1 O OOO PERSONAL fl ADV INJURY _ GENERAL AGGREGATE _$1i0OgLgqq-_ s2 OOO 000 GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2000000 POI.ICV PRO- JECT__ _._. LOC__ A AUTOMOBILE X LIABILITY ANY AUTO 4639984902 04/27/08 04/27/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS _X X HIREUAU'(OS NON OWNED AV70S BODILY INJURY (Per accid)enl $ X Drive Other Car -AGE (Perw PROPERTY DAMAGE (Per arcidenl) $ -- GARAGE LIABILITY _ AUTO ONLY- EA ACCIDENT $ OTHER THAN FA ACC $ ANY AUTO $ __.._— -`— AUTO ONLY; AC,G EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE ____ EACH OCCURRENCE $ AGGREGATE $ _- $_ DEDUCTIBLE A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEfORIPARTNENEXECUTIVE 41O47O8 10/01/07 10/01/08 )( TWCSTAU 5,0 EL EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 OFFICERUMEMBER EXCLUDED? Has, describe under IS FOAL PROVISIONS beloe _ -' E.L, DISEASE -POLICY LIMIT' $1,000,000 OTHER I DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _'10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENT TIVE ACORD 25 (2001108) 1 of 2 #M413407 17Q 0 ACORD CORPORATION IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.