HomeMy WebLinkAboutIMS HEATING & AIR INC - INSURANCE CERTIFICATE (3)® DATE (MMIDONYYY)
A`� CERTIFICA11 E OF LIABILITY INSURANCE 6/15/2020
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 NCIT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: H the certificate holder is ADDITIONAL INSURED, the pollcy(ies)"must have ADDITIONAL INSURED provisions or be endorsed.
H 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 Bolder in lieu-of,such endorsement(s)..
_.-
PRODUCER NAME; [_Carole Peters _
Madison Insurance Croup ac No Eat :.
3033220800 AK, No; 3033220874
600 South Cherry St, Ste 900 ADDRESS: lWters@ma4iso-n-i,nsurance.net
INSURER(S) AFFORDING COVERAGE NAIC 0
Denver CO 80246 INSURER A: AUTO OWNERS INS CO 18988
INSURED INSURER B : PINNACOL ASSURANCE F 4119
I.M.S. Heating & Air, Inc
5213 Longs Peak Road
Unit A
INSURER D:
INSURER E.:
Berthoud I CO 80513 1 INSURER F : 1
THIS IS TOCERTIFYTHAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDifioNS OF SUCH POLICIES. LIMITS SHOWN
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICYPERIOD
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH. RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED. BY PAID CLAIMS.
TYPE OF INSURANCE
INSD
WVD
I
POLICY NUMBER
D
MWOD
UMITS
rA
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ® OCCUR
74029i12
11/01/2019
11/01/2020
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurrence)
_-
$ 300,000
-
MED EXP (Any we person).
$ 10,000
PERSONAL aADV-INJURY
$ 1,000,000
GEN'L AGGREGATE LIMB APPLIES PER:
PRO -
POLICY ❑ j CTT 7 LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMP/OP AGG
$ 2.000,000
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NO"WNED
AUTOS ONLY AUTOS ONLY
5202961200
11/01/2019
11/01/2020
Ea accident "
$ 1,000,000
BODILY INJURY (Par person)-
$
BODILY INJURY (Per accident)
- -
$
Per accident
$
A
UMBRELLA L1AB
EXCESS LIAR
OCCUR
CLAIMSMADE
5202961201
11/01/2019
11/01/2020
EACH OCCURRENCE
$ 1,600,000
AGGREGATE
$ 1,600,000
DED I )C RETENTION$ 0
-
$
"WORKERS
13
COMPENSATION
AAND EMPLOYERS' LUU)IL6Y
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? ❑
Mandatory In NH)
Weacnhs under
IPTION OF OPERATIONS below
NIA
4030868
07/01/2020
07/01/2021
STATUTE_ _ 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 I LOCATIONS I VEHICLES (ACORD 101, Adilldonal
Remarks Schedule, may be attached if more apace is required)
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 Mathes
AUTHORIZED REPRESENTATIVE
P.O. Box 580
Ko,ote.Pedr.s
Fort Collins, CO 80522
W l lroo-LV r O AWRY Vwmrwr i rvn. nu nynu rvaar wu.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD