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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