HomeMy WebLinkAboutAIR COMFORT INC - INSURANCE CERTIFICATEClient#: 38722
AIRCO2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DYY)
OS/28/2013
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
CONTACT NAME: Jennifer Winter
PHONE FAX
A/C No Ext : 970 506-3206 A/C, No), 970 506-6846
ADDRESS, JWinter0floodpeterson.com
Greeley, CO 80632
970356-0123
PRODUCER
CUSTOMER 10 #:
INSURER(S) AFFORDING COVERAGE
NAICa
INSURED
INSURER A: Continental Western Group
Air Comfort, Inc.
150 Rome Court
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
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDY
SR
D
POLICY NUMBER
MWDDNYYY
EXP
MM/DD/YYYY
LIMIT
W
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
X PD Ded:500
CWP302878022
6/01/2013
06/01/201
EACH OCCURRENCE
PREMISEDAMAGE S Ea occur RENTED
MED E%P (Anyoneperson)
PERSONAL& ADV INJURY
$,,
GENERAL AGGREGATE
$2,000,000
GEN'LAGGREGATE LIMITAPnLPOECR:
POLICY X PRO-
JECT
PRODUCTS-COMP/CPAGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP302878022
6/01/2013
06/01/2014
COMBINE eDt)SINGLELIMITEa
$1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CU302877921
6/01/2013
06/01/2011
EACH OCCURRENCE
s6,000,000
AGGREGATE
s6,000,000
DEDUCTIBLE
RETENTION 0
$
X
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERJEXECUTIVEY/N
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
It yes, describe under
DE SCRIPTION OF OPERATIONS below
WA
4041318
6/01/2013
06/01/2014
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
EL DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ADDED 101, Additional Remarks Schedule, B 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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522-0580
AUTHORIZED REPRESENTATIVE
m 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S788813/M788747 JZS