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HomeMy WebLinkAboutMLS AIR CONDITIONING - INSURANCE CERTIFICATEClient#: 47181 MLSAI ACORD,,., CERTIFICATE OF LIABILITY INSURANCE D DATE 04/28/08 MjODfYYYY) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370-------- Fort Collins, CO 80527 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. INSURERS AFFORDING COVERAGE --� NAIL # INSURED MLS Air Conditioning Inc. 546 Sth St S.E. #Bldg. B, Suite 6 Loveland, CO 80537-6455 INSURER Auto -Owners Insurance Group INSURERB: Pinnacol Assurance INSURER C: INSURERD: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 'I'O THC INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDII"ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE" AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'FHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IflSli LTR I56' NSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLIGY E%PIRAFION DATELMMIDgIYy)_,_ LIMITS A GENERAL UABIUTY X COMMERCIAL. GENERAL LIABILITY CLAIMS MADE a OCCUR 0546327400195408 04/27/08 04127/09 EACH OCCURRENCE s1,000,000 DAMAGF. TO RENTED PRENA,FS E o -orrec s300 OOO MCI) E_XP (Any one person) _PERSONAL &ADV INJURY S10,000 $1 000,000_ — GENERALAGGREGATE s2,000,000 GEN'1. AGGREGATE LIMIT APPLIES PER: POLICY JPERCO- T._.n LOC PRODUCTS COMP/OP AGG $2000000 A AUTOMOBILE X LIABILITY ANYAUTO AI.I. OWNED AD'ros SCHIDULEDAUi'OS HIRED AUTOS NON OWNED AUTOS Drive Other Car 4639984902 04/27/08 04/27/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Perac60M) $ _ X X PROPERTY DAMAGF.` (Per accinenQ $ GARAGE LIABILII"Y __ ANY AUTO I AUTO ONLY, EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ _ B EXCESSIUMBRELLA LIABILITY OCCUR n CLAIMS MADE OEUUCTIBLE _ RFTEN_TION_ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIE'(ORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, ❑eseabe under SPECIAL PROVISIONSbelm _ 4104706 Y _ _ 1OIO1/O7 1O/O1IO6 EACH OCCURRENCE $ AGGREGATE $ $ _._._....-� 4YC $IATU 0'I H X t'DIiYIIMII'S GR $ _ ti,l.. EACH ACCIDENT $1,000,DOO F.1.. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT' .— $1,000,000 OTHER — DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins PO Box 580 Fort Collins, CO 80522 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE: EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR'Ic MAIL A0_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESFN/T}qTIVEI_ • ACORD 25 (2001106) 1 nr 9 dMd13d07 17S © ACORD CORPORATION 198E 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 negativety amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #M413407