HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (6)Client#: 38722
AIRCO2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
OD/YYYY) DD5@ATE (M""M/"
2011
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 endorsement(s).
PRODUCER
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
CONTACT NAME: Jennifer Winter
PHONE 970 266-7127 " 970 506-6846
A/C No Eat : A/C, No
ADDRESS: Jennifer.Winter@fpinsurance.com
PRODUGEH
CUSTOMER ID e:
INSURER(S) AFFORDING COVERAGE
NAIC s
INSURED
Air Comfort, Inc.
150 Rome Court
INSURER A: Colorado Casualty Insurance
INSURER B: Pinnacol Assurance
Fort Collins, CO 80524
INSURER C :
INSURER O:
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIC
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L TIL
TYPE OF INSURANCECJL
U)DL
SUER
POLICY NUMBER
MWDDNFF
XP
MMVDD/YYY
LIMIT
id
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
51OCCUR
CBP8440755
6/01/2011
06/01/201
EACH OCCURRENCE
PREMISES Ea occurrence)CLAIMS-MADE
MED EXP (Any one person)
PERSONAL& ADV INJURY
$,,
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY_X PRO LOC
PRODUCTS - COMP/OP AGO
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
AUTOS
BA8441055
6/01/2011
06/01/2012
COMBINED SINGLE DMIT
(Ea accident)
$1000000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
1XX
PROPERTY DAMAGE
(Per accident)NON-OWNED
$
A
)(
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CI -AIMS -MADE
CU8493007
6/01/2011
06/0112012
EACH OCCURRENCE
s4,000,000
AGGREGATE
s4,000,000
DEDUCTIBLE
RETENTION S10000
$
X
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYIS
IN
ANY PROPRIETOR/PARTNER/EXECUTIVEY
OFFICER/MEMBER EXCLUDED?
(Mandatory in INN)
Use, describe under
DESCRIPTION OF OPERATIONS below
N/A
4041316
6/01/2011
06/01/2012
X VI
RYLIMI OTH-
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
EL DISEASE -POLICY LIMIT
$1000000
DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ANach ACORD 101. Additional Remarks Schedule, N more space is required)
RE: Poudre Fire Authority III Remington, Fort Collins, CO 80524
City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General
Liability.
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Accounting Department ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE
�lomt 'r OtJ�LO.,I srNf✓ra.wlct , INC,
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S615779/M615742 JZS
Client#: 38722
AIRCO2
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE(MMA)D/YYYY)
O5/26/2011
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 endorsement(s).
PRODUCER
Flood &Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
CONTACT
NAME: Jennifer Winter
FAX
ac°NN Ea: 970 266.7127 p/C, No : 970 506-6846
ADOREs s: Jennifer.Winter@fpinsurance.com
CUSTOMER ID a:
INSURERIS) AFFORDING COVERAGE
NAIC a
INSURED
Air Comfort, Inc.
150 Rome Court
INSURER A: Colorado Casualty Insurance
INSURER B: Pinnacol Assurance
Fort Collins, CO 80524
INSURER C
INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
Li
TYPE OF INSURANCE
POLICY NUMBER
MWDD/YFF
MVDDEXP
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABWTV
CLAIMS -MADE OCCUR
CBP8440755
6/01/2011
06/01/2012
EACH OCCURRENCE
$1 DO-0-DO-0-
DAMAG
PREM SES F. accurance
$100000
MED EXP (Any one person)
$5,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X JECTPRO LOG
PRODUCTS - COMP/OP AGG
52,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
AUTOS
BA8441055
6/01/2011
06/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$100D000
BODI LV INJURY(Per person)
S
BODILY INJURY(Per accident)
$
1XX
PROPERTY DAMAGE
(Peraccident)NON-OWNED
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CIAIMR-MADE
CU8493007
6/01/2011
06/01/201
EACH OCCURRENCE
$4 000 000
AGGREGATE
s4,000,000
DEDUCTIBLE
RETENTION 10000
$
X1
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY IN
ANY PROPRIETOR/PARTNER/EXECUTIVEY
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
WA
4041316
6/01/2011
O6/01/201
X WG STATU- OTH-
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E. L. DISEASE -POLICY LIMIT
$1 OOO OOO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required)
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, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Fl000t -r Izi
ACORD 25 (2009/09) 1 of 1
#S615777/M615742
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
JZS