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HomeMy WebLinkAbout110722 AIR RESOURCE SPECIALISTS INC - INSURANCE CERTIFICATE (2)OP ID: SC ,a►%,. R CERTIFICATE OF LIABILITY INSURANCE D06/11'1201DDffYY1 06/11/2014 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 polic Ales) 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 Phone: 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fax: Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT NONE; NAME: FAX C No E AIC No: E21AIL ADDRESS. CUSTOMER ID r: At RRE-1 INSURER AFFORDING COVERAGE NAICIT INSURED Air Resource Specialists, Inc Jim Allan 1901 Sharp Point Dr., #E Fort Collins, CO 80525 INSURERA: Plnnacol Assurance 41190 INSURERS -Cincinnati Insurance Companies 10677 INSURER c: Westchester Surplus Lines Ins 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, LTR TYPE OF INSURANCE JuSs vi,vo POLICY NUMBER MMIDD MMIDDIYYYY LIMITS Lei GENERALLIASLLITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR X Professional Liab X G23802910008 G23802910008 G238029100DO 06/1112014 06/11/2014 06/11/2014 06/11/2015 0611112015 0611112015 EACH OCCURRENCE $ 1,000,00 PREMISES JEe occurrence $ 50,00 MED EXP (Any on e Person) $ 5,000. PERSONAL BADVINJURY § 1,000,000 X Contractors Pollu GENERAL AGGREGATE $ 3,000,00 GENTL AGGREGATE LIMIT APPLIES PER. PRO LOC X POUCY AI F PRODUCTS-COMPIOP AGG § 3,000,00 S B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS HNOA Physical Dmg X EBA0145843 EBA0145843 EBA0145843 EBA0145843 06/1112014 06111/2014 06/11/2014 06M 1/2014 06/11/2015 06/11'2015 06111/2015 06/11/2015 COMBINED SINGLE LIMIT IEa actldent) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ X X HNOAPhyDmg $ 50,00 X $ c X IIMSRELLA UAB EXCESS UAB X OCCUR CLAIMS czazz4atsaoa asrlvzo,a osnlam5 EACH OCCURRENCE S Z000,000 AGGREGATE $ 2,ODO,00 DEDUCTIBLE RETENTION $ § Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILT' ANY PROPRIETORIPARTNEbEXECUTIVE YIN OFFICERw.II EXCLUDED? F-1 (MAndAtory In NH) I yes, describe under DESCRIPTION OF OPERATIONS below NIA 1477552 05/01/2014 05/01/2015 W C STATU1 OTH- X TORY LIMITS R EL. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Agach ACORD 101, Additional R.merb Sch$ Wr, If more spec. I� ngWl-d) The city Fort Collins it officers, agents and employees are listed as Additional Insured with respect to the General Liability Policy and the Commercial Auto Policy CITY OF City of Fort Collins Director of Purchasing PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NO nCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD