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Home My WebLink AboutCUSTOM AIR INC - INSURANCE CERTIFICATE (2).. ... _.. _._'- r1inn40% 11170 CusslRPC ACORD. CERTIFICATE OF LIABILITY INSURANCE O912612019 YrI 9/26/2019 THIS CERmi==Tem 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)` bust 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_any rights to the certificate holder in lieu of such.endomement(s). PRODUCER Holmes Murphy -Colorado 7600 East Orchard Rd, Ste 230 South Greenwood Village, CO 80111 M ;,CT Lauren Valdes_ PH NE 720 622 6255 No: AIC Ns Eat EarIAIL Lades holmesmU h com ADDRESS:Vl . @ - - .. rp . y.•_..._ _. INSURERS) AFFORDING COVERAGE NAIC4 INSURER A e.Flremens Insurance Cornpaq of WA, D.C. 21784 INSURED Custom Air, Inc. 3910 South Decatur Street Englewood, CO 80110 .INSURER B :. Pinnecol Assuninge Conwifly _ 41190 AGCS Marine lrisurence Com n Y INSURER C : - P_e_ 22837 INSURER D INSURERS: INSURER F ni�.2ei. rcr CIVICIrATC Ll rsaeeo- R;:m_gi iu NIrMRER 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.CONTRACTOR 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. I RR TYPE OF INSURANCE IADDLNSR SUB POLJCY NUMBER MAr10 EFF rA EXP LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS�MADE 7 OCCUR PD Ded: $500 CPA310954728 1010112019 1010112020 CCCURRENCE EEAACMHp�OE $000000 1 PREMISES EeENan $BOO OOO X MED EXP (Any one peen) $10 000 PERSONAL & ADV INJURY $1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC OTHER: GENERAL AGGREGATE $2 000 000 PRODUCTS-COMPlOP.AGG. s2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS SPRDPERTY X AUTOS ONLY X AUTOS ONLY CPA310954728 010112019101011202 EasocidInt) LIMIT 1,000,000 BODILY INJURY (Per person) _$ BODILY INJURY (Per accident $ _ _ DAMAGE Per emident $ A X UMBRELLA LIAB EXCESS IIAB X_ OCCUR CLAIMS -MADE CPA310964728 0/01/2019 1010112020 EACH OCCURRENCE $6 00O 000 AGGREGATE $6 00O 000 DIED I X I RETENTION SO. $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE -i N OFFICERIMEMBER EXCLUDED? a IMandatory In NH) If y... cl a ite-mdw -- DESCRIPTION OF OPERATIONS below. N I A - 4061748 0/01/2019 -_ 10/01/202 X PER oTH- E.L. EACH ACCIDENT $1 00O 000 E.LDISEASE -.EA EMPLOYEE $1 000,000 E.L. DISEASE - POLICYLIMIT .. $1,000,006 C C Leased/Rented Eq. Installation Flt SML93068983 SML93068983 1010112619 0/01/2619 10011202 10/01/202 $50,000; $1,000 Ded $150,000; $1,060 Ded DESCRIPTION OF OPERATIONS !LOCATIONS! VEHICLES (ACORD 101, Additional Remerlu Schedule, may be attached if more space is required) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS i AUTHOR® REPRESENTATIVE ACORD CORPORATION. All rights reserved ACORD25 (2016103) 1 of The ACORD name and logo are registered marks of ACORD #S4774761W77217 VALL2.