HomeMy WebLinkAboutFOUR SEASONS HEATING & AIR INC - INSURANCE CERTIFICATEAI b® CERTIFICATE OF LIABILITY INSURANCE
DAIEILGADDYYYl1
01282014
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 pollcy(les) 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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANYPHOE
HOME OFFICE: P.O. BOX 328
CONEACTNAMCLI CENTER
JAICNNo Eat : 888-333-4949
(AA/C No): 507-446-4664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 265-577-7
INSURER B:
FOUR SEASONS HEATING & AIR INC
INSURER C:
1281 E MAGNOLIA UNIT D132
INSURER D:
FORT COLLINS, CO 80524
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 7 REVISION NUMBER: 0
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 _LMTYPE
OF INSURANCE
DL
INS
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/Yy'YY
POLICY EXP
MMI
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F-xl OCCUR
BUSINESS OWNER'S LIABILITY
N
N
9147884
06/06/2014
06/06/2015
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
IS
$100,000
MED EXP (Any one person)
X
PERSONAL If ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
OEN'L
X
AGGREGATE
POLICY
LIMIT APPLIES
JRI
ECT
PER:
LOC
PRODUCTS - COMPIOP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALLCOWNED SCHEDULED
HIRED AUTOS NON -OWNED AUTOS
N
N
9147885
06/06/2014
06/06/2015
COMBINED SINGLE LIMIT
Ea accide
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per aoeldenq
PROPERTYDAMAGE
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLa1MS-MADE
EACH OCCURRENCE
AGGREGATE
DEO I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICER/MEMBER EXCLUDEDi
(Mandatory in NH)
If ma. deacrlao under
DESCRIPTION OF OPERATIONS below
NIA
WC STATU-
TDRY LIMITS
OTH-
ER
E.L EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE -POLICY OMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AnaN ACORD 101, Addidonal Remem Sdmftle, if more apace is Mulrad)
265-577-7
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
70
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
0 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD