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HomeMy WebLinkAboutALLIANCE ENTERPRISES LLC DBA JEBCO HEATING & AIR C - INSURANCE CERTIFICATEACIORL? CERTIFICATE OF LIABILITY INSURANCE GATE (MMIDOM YY) 12/20/2011 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 endorsements . PRODUCER CONTACT NAME: PHONE ExU:3.Q3_ 7- 5 IAIC Ng1:303-831=5295 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 n AllEss: ntractors(aly Ic cold s-9 INSURERS) AFFORDING COVERAGE NAIC tt INSURER A:Hartford Insurance INSURED INSURER a PIn_nac0>I Assurance Alliance Enterprises LLC dba Jebco INsuRERc:Nat(Onal nion Fire_Ins_C. . Heating & Air Conditioning & Centennial 630 Lipan Street Denver CO 80204 INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1027403008 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. ILTR TYPE OF INSURANCE AOOL INSR SUER WVD POLICY NUMBER MM UmW MFF MI POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 34UUNP00571 1/1/2012 /1/2013 EACH OCCURRENCE DAMAGE TO RENTED PREMISES(Ea occurrencel $1,000,000 $300,000 MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LGC PRODUCTS - COMP/OP AGG $2,000,000 Deductible $1,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS 34UUNP00571 1/1/2012 /1/2013 Ea accident 1,000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accdent $ $ C UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE EBU067140474 1/1/2012 /l/2013 EACH OCCURRENCE $2,000,000 X AGGREGATE $2,000,000 DED (RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN AN Y PROPRIETOR/PARTNER/EXE_CUTIVE❑ OFFICERIMEMBER EXCLUDE[ Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I 4086704 1/1/2012 1/1/2013 X WE ORY LIMIT ER T RV LIMIT E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYE $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) As required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability. City of Ft. Collins;City Hall West 300 La Porte Ave Fort Collins CO 80521 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 —+.wREPRESENTATIVE ' 1016� ACORD 25 (2010/05) © 1988-2010 The ACORD name and logo are registered marks of ACORD reserved.