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HomeMy WebLinkAboutADVANCED COMFORT SOLUTIONS INC - INSURANCE CERTIFICATEADVAN-2 OP ID: AS CERTIFICATE OF LIABILITY INSURANCE DA0111T. 5/2019Y) 01 /15/2019 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 Rocky Mountain Agency Capital A BOX 248 p 9 y Cheyenne, WY 82003 CONTACT NAME: Liz Luce PHEPO El : 307-635-2491 FA/C No : 307-634-2050 AICONNo. E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Acuity 14184 INSURED ADVANCED COMFORT SOLUTIONS, INC INSURERS: 3941 W 5th St INSURER C : INSURERD: Cheyenne, WY 82007 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. IN R TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POLICY MM/DD/YYYY MM/DD//YYYY LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lxl OCCUR Blnkt Addtl Ins Z38751 02/15/2019 02/15/2020 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 15,00 X Bnkt Wvr of Subro PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7X PRo LOC OTHER GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP{OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X 6R NON -OWNED AUTOS X ! Bkt addtl X waiver Z38751 02/15/2019 02/15/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE Z38751 02/15/2018 02/15/2019 EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,000 X DED I I RETENTION $ 10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? 1____1 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Z38751 STOP GAP 02/15/2019 02/15/2020 X STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A A Equipment Floater Builders Risk Z38751 Z38751 02/15/2019 02/15/2019 02/15/2020 Inst Floa 250,000 02/15/2020 Rented 90,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION FTCOCIT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Ft. Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD