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HomeMy WebLinkAbout353790 AMERICAN AIR HEATING & AIR CONDITIONING INC - INSURANCE CERTIFICATE (5)OP ID: SA '4`� CERTIFICATE OF LIABILITY INSURANCE DAT04/05DYYYY) 04/05/13 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 303-740-8019 8480 E. Orchard Road, Ste 5500 Greenwood Village, CO 80111 David P. Jewell, C.I.C. l^ LJ, I CONTACT NAME: Susan Salazar ac° No E.t:303-740-8101 FAx ac No: 303-496-1009 AND AIL ADRESS: susans@jjia.com PRODUCER CUST M ER IO p: AMERAIR INSURERS AFFORDING COVERAGE NAIC p INSURED American Air Heating & Air INSURER A:Atain Specialty Ins.Co. Conditioning, Inc. INSURERB:Auto-Owners Insurance 18988 561 Garden Dr., Unit F Windsor, CO 80550 INSURER C: Pinnacol Assurance 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 LTR rypE OF INSURANCE A POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP (MMIDDNYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X CIP143826 04/01/13 04/01/14 EACH OCCURRENCE $ 1,000,00 RENT PREMISES Eaaccunence 8 100,000 MED EXP (Any one Person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO-LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4500151000 04/01/13 04101114 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYGE (Per accident) itlent) $ X X $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ g $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBOEREXCLUORIE ECUTIVE Y/❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA _r 4050189 10/01/12 10/01/13 X WC STATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,00 B B Property Section Equipment 7400151011 7400151011 04/01/13 1 04101/13 1 04101114 IContent 04101114 172,26 Tools 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addlllonal Remarks Schedule, If mare space Is required) Fort Collins Utilities are included as additional insured with respects to the general liability coverage. FFFFFFF Fort Collins Utilities P.O. 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 1998-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD