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Home My WebLink About169120 AIR COMFORT INC - INSURANCE CERTIFICATE (3)rlinnfff RA777 ACORD- CERTIFICATE OF LIABILITY INSURANCE 05/30/OBDmrvl PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P O Box 270370 Fort Collins CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Colorado Casualty Comfort, Inc INSURER Pinnacol Assurance 150 Rome Ct INSURER C Fort Collins CO 80524 INSURER D INSURER E 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 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PATE MM POLICY EXPIRATION D MMR1D LIMITS A GENERAL LIABILITY CBP8440755 06/01/08 06/01/09 EACH OCCURRENCE $1000000 X COMMERC AL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTEDPREMISES ran.) $1 OO OOO $5 000 MED EXP (Any one person) PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY X PRO LOC PRODUCTS COMP/OP AGG $2 oOO 000 A AUTOMOBILE X LIABILITY ANY AUTO BA8441055 06/01/08 06/01/09 COMBINED SINGLE LIMIT (Ea accident) $1 QQQ QQQ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par person) $ HIRED AUTOS X NON-0WNEDAUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY AGG A LIABILITY OCCUR CLAIMS MADE CU6440956 06/01/08 06/01/09 EACH OCCURRENCE $4 QQQ 000 AGGREGATE $4 00O 000 NXCESSIUMBRELLA DEDUCTIBLERETENTION $1 OOOQ $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY 4041318 06/01/08 06/01/09 X WC STATU OTH E L EACH ACCIDENT $1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMSER EXCLUDED? "yes deacnbe under SPECIAL PROVISIONS below E L DISEASE EA EMPLOYE $1 QQQ QQQ EL DISEASE POLICY LIMIT $1 000r000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is named as an Additional Insured 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 An DAYS WRITTEN NOTICE TO THE CERTIFICATE 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 25 (2001/08) 1 of 2 #M416745 RIIA.i CORPORATION 12AA 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 ACORD 25-S (2001/081 9 . f l M\AA4ATA!