HomeMy WebLinkAbout155358 FORT COLLINS HEATING AND AIR CONDITIONING - INSURANCE CERTIFICATEMar. 4. 20 19 2.54PM Weedin Agencyv8
�L Rom CERTIFICATE OF LIABILITY INSURANCE ( 3/4/20 UATEfMMtDD9 '
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
3ERTIFICATE 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 DETWEEN THE ISSUING 1NSURER(S), AUTHORIZED
'kPRESENTATIVk OR PRODUCER, AND THE CERTIFICATE HOLDER,
0APORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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 endoreement(s).
PRODUCER
WEEDIN AGENCY INC
---�O Box 55
7,oveland, CO 80539
ra_uRED FORT COLLINS HEATING
& AIR CONDITIONING, INC.
208 COMMERCE DRIVE # 4
FORT COLLINS, CO 80524
(PJC N .Extk (970) 667-2145 (ac,rx
A DL-MRESS:leandra@weedinagency. com
INSURERtSI AFFORDING COVERAGE
INSURER A: OWNERS INSURANCE CO
INSURER B:AUTO OWNERS INSURANCE CO
INSURER D
INSURER E :
CC',VERAGES CERTIFICATE NUMBER: REVISION NUMBER:
(910)669-9295
NAIC/
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PGLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVI41CH THIS
ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
XCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE ,SEEN REDUCED BY PAID CLAIMS.
-�' TYPE OF INSURANCE
wan
wvD
POLICY NUMBER
I POLICY EFF
(MMIDD
POO
MMIDDIYYYY
UM;TS
j
$
X
COMMERCIAL GENERAL LIAafLIN
CLAIMS -MADE I x I OCCUR
Y
Y
74092752
I
03/05/2019
03/05/2020
i
EACH OCCURRENCE
PREMISES Ea occurrence
S 1 0 0 0 1 000
a 300,000
MEDEXP (AQX onaperson)
$ 10,000
PERSONAL I ADV INJURY
S 1,000,000
GENL AGGREGATE LIMIT APPLIES PER:
7C POLICY PE� F-1 LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP ASG
s 2,000,000
5
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED SCHEDULED
AU703 X AUTOS
HIRED AUTOS �{ AUTOS �NED
AUTOS
{
Y
49-092724�00
03/06/2010
I
03/09,2020
Es Accident)COBIED IN
S 1,000,000
X
90DILY INJURY (Per person)
i
BODILY INJURY (Per accident)
i
X
AMA E
(per aecidenl
$
$
A
X
UMBRELLA LIAB
ExCESS LIAR
X
OCCUR
CLAIMS -MADE
Y
49-092741-00
03/05/2019
02/05/2020
EACH OCCURRENCE
S 5,000,000
AGGREGATE
s 5 000 000
DED RET'EN'TION S
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY FROPRIE70RIPARTMEPJEXECUTIVE
OFFICERNEMBER EXCLUDED?
iMandalory In NM
styes desuibeuntler
DFSGRIPTION OF OPERATIONS balovv
NIA ',
STATUTE ER
EL EACH ACCIDENT
$
F.L, DISEASE - EA EMPLOYEE
S
E.L. DISEASE . POLICY LMMT I
s
D'=SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1o1, Addllkmel Remarks Sohetlula, may 0e attached U more space Is requiraT
C—EnTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
BUILDING AND ZONING DEPT
PO BOX 580
FT COLLINS, CO 80522-0580
FAX (970) 221--6762
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL 3E DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS. j
REPRESENTATIVE
®1988r2di4A4C0RD CORPORATION, All rights reserved.
;ORa25(2014/01) The ACORD name and logo are registared marks ofACORD