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HomeMy WebLinkAbout110722 AIR RESOURCE SPECIALISTS INC - INSURANCE CERTIFICATEOP ID: TA 1A1C,C)�RL7" CERTIFICATE OF LIABILITY INSURANCE oATE 10130/l3 r 01303 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 Ileu of such endorsements . PRODUCER 970-223-1SO4 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A Wooldridge LUTCFAAI NAMEAcT PHONE AIC Me: AI ADDRESS: CUSTOMER ID s: Al RRE•1 INSURE S AFFORDING COVERAGE MAC 8 INSURED Air Resource Specialists, Inc 1�� 12Z Jim Allan 1901 Sharp Point Dr.,#E Fort Collins, CO 80525 INSURER A:PinnaeolAssurance 41190 INSURER 13:Cincinnati Insurance Companies 10677 INeuaeac:WestehesterSurplus Linesins 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. Jim TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY) IMMODrYYYYI LIMITS C GENERAL LIABLITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX70CCUR X Professional Liab X G23802910007 023802910007 G23602910007 0611IM3 06111/13 06I11/13 06/11114 06/11114 06111/14 EACH OCCURRENCE $ 1,000,000 PREMISES (Ee occurrence $ 50,00 MED EXP (Any oneperson) $ 5,00 PERSONAL I ADV IN JURY $ 1,000,00 X Contractors Pollu GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER. IRI- JECT LOC PRODUCTS-COMROP AGG S 3,000,00 $ B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOSEBA0145843 HNOA Physical Dmg EBA0145843 EBA0145843 .EBA0145843 06/11113 06/11/13 06/11/13 06/11/13 06111114 06/11114 06/11/14 0611V14 COMBINED SINGLE LIMIT (Ea madent) f 1,000,0D X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ X X HNOAPhyDrrrg s 50,OOC X s C X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE G24224818003 06111 /13 O6/NI14 EACH OCCURRENCE $ 2,000,00 AGGREGATE S 2,000,00 DEDUCTIBLE RETENTION $ $ S A WORKERS COMPENSATION AfO EMPLOYERS' LIABLMY ANY PROPRIETORIPARTNER,EXECUTIVEYIN OFFICERIMEMBER EXCLUDED? (MandMery In NH) If Yes, describe under DESCRIPTION OF OPERATIONS below N I A 147755.2 05101H3 OW114 W C STATU- X OTH- T RV IMIT E.L.EACH ACCIDENT S 11,00111110010 E.L. DISEASE- EA EMPLOYEES 1,000,000 E.L. DISEASE- POLICY LIMIT $ I'M0,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AaeMACORD101,AddibmWRe *s Schedule,If..WmisrginQ The city Fort Collins it officers, agents and employees are listed as Additional Insured wi�h respect to the General Liability Policy CERTIFICATE HOLDER CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Director of Purchasing AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, CO 80522 %� G ACORD 25 (2009109) OO 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD