HomeMy WebLinkAbout169196 AIRPRO INC - INSURANCE CERTIFICATEAC p ® DATE (MM1DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 1/31l2019
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 have ADDITIONAL INSURED provisions or 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
NAME: hana Tamayo
Commercial Risk Solutions PHOFAX
6600 E. Hampden Ave., Ste. 200 NE 303-996-7842 A/c No:303-757-7719
Denver CO 80224 noo IEss: stamayo@crsdenver.com
INSURED
Air Solutions Inc dba Airpro
3875 Elm Street
Denver CO 80207
INSURER(S) AFFORDING COVERAGE
A: Continental Western Ins Co.
B : Pinnacol Assurance
c:
E:
COVERAGES CERTIFICATE NUMBER- 17Rn724945 REVISION NUMBER:
NAIC #
10804
41190
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.
INSRSl]S YEFF POLICYEXP
LTR TYPE OF INSURANCE POLICY NUMBER M IYY MM D/ YYY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
Y
CPA3190764
1/31/2019
1/31/2020
EACH OCCURRENCE
$1,000.000
X '
CLAIMS -MADE -' OCCUR
7TvtAGET6REt3"rE6___ _
2R�MIS-i"-(EaQcctJrr�rg
_ _ _..
$ 300 O00
-_
MED EXP (Any onepersonn_
$ 5,000
----
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$ 2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY j� _ _, JPRO-- , LOC
PRODUCTS - COMP/OP AGG
$ 2 000,000
OTHER:
$
A
AUTOMOBILE LIABILITY Y
CPA3190764
1/31/2019
1/wmo
BINEDISINGLE LIMIT
(EaX
$1.000,000
BODILY INJURY (Per person)
ANY AUTO
$
OWNED SCHEDULED
$
BODILY INJURY (Per accident)
-
1
AUTOS ONLY AUTOS
PROPERTYDAMAGE
$
X HIRED
X
AUTOS ONLY AUTOS ONLDY
A
X UMBRELLA LIAB X OCCUR
{
CPA3190764 1/31/2019
1/31/2020
EACH OCCURRENCE
$ 9,000,000
AGGREGATE
_
$ 9,000,000
�EXCESS
� � ', C_ L_A_ IMS-MADE
I
_
$
SLLAB
DED ' RETENTION $
I
g WORKERS COMPENSATION
4207543 1/29/2019
2/1/2020
X STATtZT� ERH
AND EMPLOYERS' LIABILITY Y
ANYPROPRIETOR/PARTNEREXECUTiVE N
OFFICER/MEMBEREXCLUDED7
N/A
E.L EACH ACCIDENT ---
$1,000,000 ---
(Mandatory In NH)
. DISEASE - EA EMPLOYEE
E.L.
P-E1-LL
$1,000,000
If yes. describe under
- DESCRIPTION OF OPERATIONS below
{
- ....---._ .._—
DISEASE - POLICY LIMIT
-.--_--,_--_----.—_.-.
$ 1,000,000
A ' Leased & Rented
CPA3190764 1/31/2019 1/31/2020 Limit
100,000
Equipment
I ,
l
Deductible
1,000
DESCRIPTION OF OPERATIONS / LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached i1 more space is required)
City of Fort Collins and Poudre Fire Authority are included as additional insured for ongoing operations on the General Liability and included as additional
insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions
and exclusions apply.
r_FRTIFICATF Hnl r1FR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
BOX 580
Fort Collins CO 80522
AUTHORIZED REPRESENTATIVE
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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