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HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (9)Client#: 38722 AIRCO2 ACORD.CERTIFICATE OF LIABILITY INSURANCE DATE os/27/zola7/201(MMIDDIY4 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 NAME: Jennifer Winter Flood 8: Peterson Ins., Inc. PHONE 970 506-3206 970 506-6846 A/C No Eat): AIC No P. O. Box 578 ADDRESS: JWinter@floodpeterson.com Greeley, CO 80632 INSURERS) AFFORDING COVERAGE NAICM 970 356-0123 INSURER A: Continental Western Insurance 10804 INSURED INSURER B : Plnnacol Assurance 41190 Air Comfort, Inc. 150 Rome Court NSURER C Fort Collins, CO 80524 INSURERD: 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 CONTRACTOR 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY MERCIAL GENERAL LIABILITY CLAIMSTv1ADE OCCUR q110CD, Ded:500 CPA302878022 6/0112014 06/01/2015 EACH OCCURRENCE $1000000 PREMISES RENT RENTED s3000OO MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE O LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILELIABIUTY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NOWOWNED AUTOS CPA302878022 6/01/2014 06/01/2015 EeatBINEDSINGLELIMIT $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE CPA302878022 6101/2014 06/01/2015 EACH OCCURRENCE s6000000 AGGREGATE s6.000.000 DED X RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOP/PARTNEWEXECUTIVEn OFFICERIMEMBER EXCLUDED? (Mandatory in NH) LJ If yes, descries under DESCRIPTION OF OPERATIONS bell. NIA 4041316 6/01/2014 06/01/201 X WCSTATU- OTH- ER E.L. EACH ACCIDENT $1000000 EL DISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space 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 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S892064/M892008 JZS Client#: 38722 AIRCO2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 05/27/20147/2014 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 CONTACT Jennifer Winter Flood &Peterson Ins., Inc. AICDim Est: 970 506-3206 A/AC, N,, 970 506-6846 P. 0. Box SS: JWinter@floodpeterson.com Greeley, CO 80632 -ADDRESS: INSURERS) AFFORDING COVERAGE NAICp 970 356-0123 INSURER A: Continental Western Insurance 10804 INSURED INSURER B: Plnnacol Assurance 41190 Air Comfort, Inc. 150 Rome Court INSURER C: Fort Collins, CO 80524 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL UABJUW X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X1 OCCUR X PD Ded:500 CPA302878022 6/01/2014 06/01/201 EACH OCCURRENCE $1 000 000 PREMISES Eao�renoe $300000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CPA302878022 6/01/2014 06/01/2015 COMBINED SINGLE LIMIT Ea accident $1,0001000 X BODILY INJURY (Per person) $ (Per accident) ( BODILY INJURY P$ X PROPERTY DAMAGE (PROPER $ A X UMBRELLA LIAS EXCESS LIAB X OCCUR CLAIMS -MADE CPA302878022 6/01/201406101/201 EACH OCCURRENCE s6000000 AGGREGATE s6.000.000 DED I X RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORMARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A 4041318 6/01/2014 06/01/201 X 4VCSTATU- OTH- E.L. EACHACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1 000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Accounting Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S892065/M892008 JZS