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HomeMy WebLinkAbout155358 FORT COLLINS HEATING & AIR CONDITIONING INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
DA 0/2
2/2o/zo13D/YWY)
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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pelicy(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
WEEDIN AGENCY INC -
PO Box 55
Loveland, CO 80539
'UN AL
NAME
(9 70) 667-2145 .Nm (970) 66 9-9295
Amark@weedinagency.
com
IYSnRER15) AFFORDING COVERAGE
I NAtC%
INSURER A: AUTO —OWNERS INSURANCE CO
116144
INSURED FORT COLLINS HEATING
( INSURER D:
I
& AIR CONDITIONING, INC.
INSURER C:
208 COi DRIVE # 4
INSURER D:
FORT COLLINS , CO 80524
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: RFVISInN NIIMRFG
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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR N.
TYPE OF INSURANCE
INS RIPoI
POLICY NUMBER
(MM/DDMYYI
(MMI�IOl1YYYI
I LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
I 5 1, QQQ.,OOO
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_X1 OCCUR
157Ei c
PREMISES
I PREMISES (Iccculancet
S 300,000 I
MEDE%P(Anyaneoerson)
I S 10 000
A
y
74092752-13
03/05/13
03/05/'_S
PEftSONALEADVINJURY
E S,000,OOO
GENERAL AGGREGATE
Is 2,000,000
GEri AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
S 2,000,000
X POLICY 17 Jf, LOC
5
AUTOMOBILE
LIABILITY
M INE SINGLE LINIII
(Ea accident
8 1,000,000
x
BODILY INJURY (Per Person)
S
A
ANYAUTD
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUUTOSWNED
--
49092724-00
03/05/13
03/05/1S
I
BODILY INJURY (Per accident)(
S
n, AMALE
!Pair aridend
S
S
A I
}{
UMBRELLA L 3
EXCESS LIAR
OCCUR
CLAIMS -MADE
49092741-00
D3/es/i3
o3/Ds/ia I
EACH OCCURRENCE
S 5,000,000
AGGREGATE I4
DED RETENTIONS
S
WORKERS COMPENSATION
S' AND EMPLOYERLIABILITY Y/N
ANY PROPRIETOR ARTNEwaxECLTJVE r7
OERCE!LMEMBER E%OLUOED?
N/A
I
ORV L MITS OER
E.L. EACH ACCIDENT I
S
E.L. DISEASE - EA EMPLOYEE
IManouary in NMI
If yes, describe under
E.L. DISEASE-?OLICV LIMIT
S '
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Acditienal Rai Scnecule, if more space is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80526
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
01988-2010ACORD CORPORATION. All rights reserved
ACUHD25(2010105) The ACORD name and logo are registered marks of ACORD