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HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (7)Client#: 38722 AIRCO2 ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 06/01/2012 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 B. Peterson ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Jennifer Winter (PAID,"No Erin): ONE 970 506-3206 FAX No):970 506-6846 A/C, ADDRESS: Jennifer.Winter@floodandpeterson.com PAODU ER CUSTOMER 10 p: INSURER(S) AFFORDING COVERAGE NAIC a INSURED \ 1'� 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. INSR TYPE OF INSURANCE DEL UBRI POLICY NUMBER MM/DDNYYY Y EFF Y EXP MM/DDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CBP8915817 6/01/201206/01/201 EACH OCCURRENCE $1000000 TED PREMISES EaoDAMAGE TO acurrence $100000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 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 BA8916017 6/01/2012 06/01/2012 COMBINED SINGLE LIMIT (Ea accident) $1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accident)NON-OWNED $ 8 AhUMBRELLA LIAB EXCESS LIAB X OCCURC.U8915018 CLAIMS -MADE 6/01/2012 06/01/201 EACH OCCURRENCE $4 000 000 AGGREGATE $4 ODD DUD DEDUCTIBLE RETENTION 10000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFICEWMEMBER EXCLUDED? F_N] (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 4041318 6/01/2012 06/01/2012 X JWG STATU- GTH- E.L EACH ACCIDENT $1 000000 E.L. DISEASE -EA EMPLOYEE $1,000 000 E.L. DISEASE - POLICY LIMIT $1 00D 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) RE: Poudre Fire Authority #6, 102 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 Accounting Department PO Box 580 Fort Collins, CO 80522.0580 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 ACORD 25 (2009/09) 1 of 1 #S699340/M699300 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS Client#: 38722 AIRCO2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDnvvY) 06/01/2012 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 970356-0123 CONTACT Jennifer Winter NAME: PHONE FAX A/c Na Ert 970 506-3206 Arc, Na : 970 506-6846 gpoa'Ess: Jennifer.Winter@floodandpeterson.com PRODUCER CUSTOMER ID 0: INSURER(S) AFFORDING COVERAGE NAICIt INSURED Air Comfort, Inc. 150 Rome Court INSURER A: Colorado Casualty Insurance INSURER BPinnacol 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. INSR TYPE OF INSURANCE loo SRD POUCYNUMBER DY MWDNYY POLICY DYYLILL LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [� OCCUR CBP8915817 6/01/2012 06/01/2012 EACH OCCURRENCE $1 000000 DAMAGE Ti PREMISESEeoccurrerna $100000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY X PRO- n LOC JFDT PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS BA8916017 6/01/2012 06/01/2012 COMBINED SINGLE LIMIT Fa accident $1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per oxidant)S 1XX PROPERTY DAMAGE (Peracciden)NON-OWNED $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUS915018 6/01/2012 06/01/201 EACH OCCURRENCE $4 OOO OOO AGGREGATE s4,000,000 DEDUCTIBLE RETENTION 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETONPARTNEWEXECUTIVE Y/N `MatlFICain Elo NH)BER EXCLUDED? I es, describe under DESCRIPTION OF OPERATIONS below N/A 4041318 6/01/2012 06/01/201 X WCSTATU- 01 E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 EL.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Fernandina Schedule, N 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 m1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 Oil The ACORD name and logo are registered marks of ACORD #S699338/M699300 JZS