HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (11)ACOO EI CERTIFICATE OF LIABILITY INSURANCE YA M;WUMfWWTTTTi
a5/19/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYIAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CQNSTITUTE A CONTRACT BETWEEN THE,ISSUING INSURER(S), AUTHORIZED:-
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE. HOLDER.
IMPORTANT: N the certificate holder is an ADDITIONAL INS RED, the policy(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 holder in lieu of such endarsement(s).
PRODUCER CONTACT Jennifer Winter, CISR
Flood and Peterson PNONE , (970) 506-3206 FAX (970) 506-6846
PO Box 578
E-MIUL (Air,
ADDRESS. JWinter®flopdpeterson.eom
ADDRESS:
INSURE AFFORDING COVERAGE NAIL a
Greeley CO 80632 INSURERA: EMCASCO Insurance Company 21407
INSURED i ,.,Queen n .. Employers Mutual Casualty Company 21415
Air Comfort, Inc.
150 Rome Court
I Fort Collins CO 80524 I INSURER F: I
r1nVFRAPFS. rFRTtFfrATF:NIlIU1RFA-1 CL2051934761 RFVISIAN NIIMRFR-
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 OROTHERDOCUMENT 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
S -
POLICY NUMBER
PMID 1' EFF
LICY
IDDryY P
UNITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
PREMISES(Eaoccurrence
$ 1,000,000
MED EXP(Anyone person)$
10,000
PD Ded:1,000
PERSONAL& ADV INJURY
$ 1,000,000
A
5D8-76-96
21
06/01/2020
06/01/2021
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
RO-
POLICY JECT LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
$
_,"..
-OTHER: -_- _ _ _-. _..
AUTOMOBILE
LIABILITY
-
COMBINED SINGLE LIMIT
Me accident
$ 1,000,000
BODILY INJURY (Pei person)
$
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY — AUTOS
5EB-76-96-21
06/61/2020
O6/01021 /2
BODILY INJURY (Par accident)
$
PROPERTY DAMAGE
Per accldent
$
HIRED NON-0WNED
AUTOS ONLY - AUTOS ONLY
$
UMBRELLA LIAR
OCCUR
I
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
B
EXCESSLIAB
CLAIMS -MADE
5JB-76-96-21
06/01/2020
06/01/2021
DED I X RETENTION $. 0
$
`'
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH) -
N/A
4041318
O6/01/2020
O6/0112021
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE.
$ 1,000,000
If yes, desodbe under
DESCRIPTION OPOPERATIONS below
E.L. DISEASE-. POLICY LIMIT
�$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal
Remarks Sehafte, may be atNelsd R mare apace Is required)
rFRTIFIrAT'F NTV rMcD I r &me vi I ATIf1N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN
City of Fort Collins Parking Services
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORMED REPRESENTATIVE
Fort Collins CO
80522-0580
®1930-2015 ACORD CORPORATION. All ngnts reserve_a
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD