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HomeMy WebLinkAboutIMS HEATING & AIR INC - INSURANCE CERTIFICATEACOR�� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 6/28/2019 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 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 CONIACI NAME: Shanna Jamsay Madison Insurance GroupPHONE A/C, No Ext): () 303 322-0800 (303) 322-0874 (A/CNo): , ADDRESS: sjamsaylwmadisoninsurance.net 600 S. Cherry St. , Ste. 900 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO -OWNERS INSURANCE COMPANY Denver CO 80246 INSURED INSURER B : PINNACOL ASSURANCE 41190 INSURER C : IMS Heating & Air, Inc. INSURER D : 5213 Longs Peak Rd., Unit A INSURER E : INSURERF: Berthoud CO 80513 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 INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR 74029612 11/01/2018 11/01/2019 EACH OCCURRENCE $ 1,000,000 ED- PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS XHIRED NON -OWNED AUTOS ONLY I► AUTOS ONLY 52029612-00 11/01/2018 11/01/2019 (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) $ A x UMBRELLA LIAB EXCESS LIAB X OCCUR ICLAIMS-MADE 52029612-01 11/01/2018 11/01/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? Mandatory in NH) If yes, describe under DFSCRIPTION OF OPERATIONS below N/A 4030868 07/01/2019 07/01/2020 - STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r;=PTIFIRATF N(ll r1FR CANCFI_L_ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kaye Mathea AUTHORIZED REPRESENTATIVE P.O. Box 580 pp,«ta BL&I Fort Collins, CO 80522 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD