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HomeMy WebLinkAboutMOUNTAIN AIRE MECHANICAL LLC - INSURANCE CERTIFICATEMUUNIUI UP IU: UK AFRO CERTIFICATE OF LIABILITY INSURANCE DAT08118/14 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 endorsements . PRODUCER 303-987-3331 Coiling Insurance Services Inc 303-987-2881 777 S. Wadsworth Blvd., ft1.100INC.No Lakewood, CO 80226 Brad Coiling CONTACT PHONE FAX Ext: Nc No): EMAIES$:L ADOR INSURERS AFFORDING COVERAGE NAIC Is INSURER A: Auto Owners Insurance Co. 18988 INSURED Mountain Aire Mechanical LLC INSURERS: Pinnacol Assurance 41190 1415 E 58th Ave Denver, CO 80216 INSURERC: Homeland Ins. Co. of New York 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 TYPE OF INSURANCE ADD POLICY NUMBER MMLICY EFF IDD/YYYY MM LICY EXP IDDNYYY LIMITS A GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 74350743 08/21/14 08121115 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence S 300,00 MED EXP(My one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRO LOC 17 POLICY X JFCT PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY I ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEO HIRED AUTOS AUTOS 4772967400 08/21/13 08/21/14 COMBINEDSINGLE LIMITEa accidV) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ $ A X UMBRELLA UAB EXCLIAR ESS X OCCUR CLAIMS -MADE 4735074300 08/21113 08121/14 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/FJ(ECUTIVE YI❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) II yes, descnbe under DESCRIPTION OF OPERATIONS below NIA 4116969 09/01/14 09101116 X WC STATU- OTH- RY 1 E.L.EACHACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE S 1,000,00 E. L. DISEASE -POLICY LIMIT S 1,000,00 C Professional and Pollution Liab. 793000065 05/09/14 05/09/15 Incident 1,000,00 Aggregate 2,000,0010 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is rNulmd) CERTIFICATE HOLDER CANCELLATION CITFOR1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Ft. Collins, CO 80522 AUTHORUIED REPRESENTATIVE ACORD 25 (2010/05) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD