HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (8)Client#: 38722
AIRCO2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
05/28/2013
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 8: Peterson ins., Inc.
P. O. Box 578
Greeley, CO 80632
970356-0123
CONTACT NAME: Jennifer Winter
PHONE g70 506-3206 AX
A/C No Est : A/C, No 970 506-6846
ADDRESS: JWinter@floodpeterson.com
CUSTOMER ID r:
INSURER(S) AFFORDING COVERAGE
NAICe
INSURED
Air Comfort, Inc.
150 Rome Court
INSURER A; Continental Western Group
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
DDL
sUBR
I POLICY NUMBER
POLICY EFF
MMIDONYYY
POLICY UP
MM/ODIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
TCLAIMS-MADE � OCCUR
X PD Ded:500
CWP302878022
6101/2013
06/01/2014
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
PREMISES Ea occurrence)
$300 000
MED EXP (Anyone person)
$10 000
PERSONAL&ADV INJURY
$1,000,000
GENERALAGGREGATE
$2 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY FX PRP F LOG
PRODUCTS - COMP/OP AGG
$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
(O�MBIt)NEeDSINGLE LIMIT
1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
A
X
UMBRELLA LIAR X
EXCESS LAB
OCCUR
CU302877921
6/01/2013
06/01/2014
EACH OCCURRENCE
s6,000,000
AGGREGATE AGGREGATE
s6,000,000
DEDUCTIBLE
RETENTION 0
$
X
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERJEXECUTIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory in NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
4041318
6/01/2013
06/01/201
X WCSTATII- OTH-
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE -EA EMPLOYEE
$1 000 000
E.L. DISEASE -POLICY LIMIT
$1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if 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
ACORD 25 (2009/09) 1 Oft
#S788812/M788747
@ 1988.2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD