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HomeMy WebLinkAbout353790 AMERICAN AIR HEATING & AIR CONDITIONING INC - INSURANCE CERTIFICATE (2)OP ID: MB A�ORD' CERTIFICATE OF LIABILITY INSURANCE DATE03125DYYYY) 3/25/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements . PRODUCER 303-740-8101 Jewell Insurance Associates 8480 E. Orchard Road, Ste 5500 303-740-8019 Greenwood Village, CO 80111 David P. Jewell, C.I.C. CONTACT NAME: Micki Weeder, CISR PHONE FAX A c Ne Ext : 303-740-8101 A c No): 303-496-1009 E-MAIL mICkIWewellins.com PRODUCER CUSTOMER ID M AMERAIR INSURERS AFFORDING COVERAGE NAIC # INSURED American Air Heating & Air V INSURER A: Auto -Owners Insurance 18988 INSURERB: Pinnacol Assurance Conditioning, Inc. 561 Garden Dr., Unit F Windsor, CO 80550 INSURER C: INSURER D INSURER E : INSURER F : rn%IMDA _oc r`GOTICIr`ATC NII Irma FO• RFV131f7N NI IMRFR THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR LTR TYPE OF INSURANCE AD L POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 7400151011 04/01/11 04/01/12 pREMISEs Ea occurrence $ 300,000 MED EXP (Any ane person) CLAIMS -MADE 1 •• OCCUR PERSONAL B ADV INJURY $ 1,000,000 X Hired/Non-owned GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO 4500151000 04/01/11 04/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIREDAUTOS X X $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LWB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICEWMEMBER EXCLUDED? (Mandatory in NH) N / A 4050189 10/01/10 10/01/11 X WC STATU- OTH- T R A R E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Property Section 7400151011 04/01/11 04/01/12 Content 170,72 A Equipment 7400161011 04/01/11 04/01/12 ITOOIS 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Fort Collins Utilities are included as additional insured with respects to the general liability coverage. • Ten days notice of cancellation for non-payment of premium. r+vo T,onwre unr mom CAWf`FI I ATIr1N FFFFFFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE �/ © 1983-2009 AGORD GORPLIKA I IUN. All rights reservea. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD