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HomeMy WebLinkAbout110722 AIR RESOURCE SPECIALISTS - INSURANCE CERTIFICATEAIRRE-1 OP lQu DATE/ 06//1111/22019019Y) .4CORO CERTIFICATE OF LIABILITY INSURANCE `—� 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 endorsements . PRODUCER 970-223-1804 Front Range Insurance Group 2002 Caribou Drive, Ste. 101 CONTACT David A. Wooldridge LUTCFAAI PHONE 970-223-1804 FAX A/C, No, E:t : (A/C, No): Fort Collins, CO 80525 E-MAIL AssuredPartners Colorado INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Indemnity Company INSURED Air Resource Specialists Inc 1901 Sharp Point Dr, Unii F INSURER B: Westchester Surplus Lines Ins INSURERC: Pinnacol Assurance 41190 Fort Collins, CO 80525 INSURER D : INSURER E : INSURER F : COVERAGES CFRTIFICATF NHMRFR• RFVISIr1Nl NI IMRFRo 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 TYPE OF INSURANCE ADDL SUB MD. WVD POLICY NUMBER POLICY EFF XL POLICY EXP IMMJDD[YYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR X G23802910013 06/11/2019 06/11/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES fEa occurrence 50,000 $ X MEDEXP (Any oneperson) $ 5,000 Professional Liab G23802910013 06/11/2019 06/11/2020 X Contr Pollution PERSONAL & ADV INJURY $ 1,000,000 G23802910013 06/11/2019 06/11/2020 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY ❑ jpeT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS -COMP/OP AGG $ 3,000,000 Prof/Poll 1,000,000 OTHER. A AUTOMOBILE LIABILITY COMaBINEeDSINGLELIMIT $ 1,000,000 X BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X EBA0145843 06/11/2019 06/11/2020 BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON AWNED AUTOS ONLY AUTOS ONLY D $ B UMBRELLA LIAB X OCCUR 1 1 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE G24224818009 06/11/2019 06/11/2020 DIED I I RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A 1477552 05l01/2019 05/01/2020 X I PER OTH- STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 A Bus Pers Prop EPP0145843 06/11/2019 06/11/2020 All Loc's 1,212,200 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City Fort Collins, it officers, agents and employees are included as Additional Insured per conditions and forms shown on page 2. CITY OF City of Fort Collins Financial Services 215 N. Mason St. - 2nd Floor PO Box 580 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD No Text