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Home My WebLink About353790 AMERICAN AIR HEATING & AIR CONDITIONING INC - INSURANCE CERTIFICATEOP ID: SA 1441C"R" CERTIFICATE OF LIABILITY INSURANCE DATE08131°"YYY' 1 8/31112 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 CONTACT NAME; Susan Salazar 303.740.8101 FAX Ac PHONE No al : AIc No: 303-496-1009 EMAIL .. ADDRESS: SUSanS Ia.COm Greenwood Village, CO 80111 g David P. Jewell, C.I.C. PRODUCER .gMERAIR CUSTOMER ID INSURERS AFFORDING COVERAGE NAIL Y INSURED American Air Heating & Air INSURER A: Auto -Owners Insurance 18988 Conditioning, Inc. 561 Garden Dr., Unit F Windsor, CO 80550 INSURERS: Pinnacol Assurance 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. I NSR RN%R TYPE OF INSURANCE DDL SUBSPOLICY MD NUMBER EFF MMIDOIYYYY MLICY M/DDf YYY - LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—xl OCCUR X 7400151012 04101112. 04101113 EACH OCCURRENCE $ 1,000,00 -DAMA= RENTED PREMISES Eaoccumence S 300,00 MED EXP (Any one person) $ 10,00 PERSONAL $ ADV INJURY $ 1,000,00 X Hired/Non-owned GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 4500151000 4500151000 4500151000 04/01/12 04/01/12 04101112 04/01/13 04/01/13 04101/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODI LY INJ URY(Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? El (Mandalory in NH) If yes, desuiibe under DESCRIPTION OF OPERATIONS belae N/A 4050189 - - 10/01112 10/01113 X WC STATU- OTH- E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE -FA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,00 A A (Property Section Equipment 7400151011 7400151011 04/01/12 04101112 04/01/13 04101113 Content 170,72 Tools 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUonal Remarks Schedule, If more apace 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. FFFFFFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Collins Utilities THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE l� �V V 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD