HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (12)AC RV CERTIFICATE OF LIABILITY INSURANCE DA E(MMI/2D2D/"
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 CERTIFICATEIHOLDER.
IMPORTANT- H the certificate holder is an ADDITIONAL INSURED, the policy(iss) 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.holdeir in lieu of such endorsement(s).
PRODUCER - - 2OW - - Jennifer Winter, CISR -
Flood and Peterson PHONE EIM(970)506-3206 FAX(Ar (970)506-68"
PO Box 578 ere¢. JWinter0floodpeterson.00rii
INSURED
Air Comfort, Inc.
150 Rome Court
80632
Pinnacol Assurance
a
I Fort Collins CC 80524 1 INSURER F: I I
rr1VFGAr:PC rF9rnFIrATFNIIIMIRFQ-1 CL2051934761 RPVlQInN NIIMRFM•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THEINSUREDNAMED. 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 INSURANCELr=l
POLICY NUMBER
FOWUO Y OFFMID
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1.000,000
CLAIMS -MADE ® OCCUR
PREMISES Ea occurrence
$ 1_,000,000
MEDEXP An one' n=
$ 10,000
PD Ded:1,000
PERSONAL& ADV INJURY
$ 1,000,000
A
5D6.76.96.21
06/01/2020
06/01/2021
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY 19 PRO-
JECT ® LOC
.PRODUCTS -.COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
- -
COMBINED SINGLE LIMIT
Ea accident
$ 1,000.000
BODILY INJURY (Per person)
$
ANV AUTO
A
OWNED SCHEDULED
5E8-76-96-21
06/01/2020
06/01/2021
BODILY INJURY (Per aoddent)
$
AUTOS ONLY AUTOS
PROPERTY DAMAGE
Peraccident - - -
$
HIRED NON-0WNEO
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB
OCCUR
EACH.00CURRENCE.
$ 10,000,000
19
AGGREGATE
$ 10,000,000
B
EXCEssuAe
CI44dMS,MADE
5J6 76-9
-21
06/01/2020
06/01/2021
DED RETENTION $- 0
. ... -- _. _ -
$.
--_
_ _ _.1
_ - __ _
_ _
..
WORKERS COMPENSATION
X PER OTH=
-
AND EMPLOYERS' LIABILITY Y/N
STATUTE . ER .. _
. E.L. EACH ACCIDENT _ --
$ 1,000,000
C
ANY PROPRIETORIPARTNERIEXECUTNE
F1
N/A
4041318
06/01/2020
O6/01/2021
E.L. DISEASE - EA EMPLOYEE.
$.1,0001,000
OFFICERIMEMBEREXCLUDED?
(MandatorylnNH)
If yes. describe under
DESCRIPTION OF OPERATIONS beim
--
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddlUonal
remarks Schedule, may be attached K mom space Is required)
City of Fort Collins is listed as an Additional Insured as respects General
Liability.
rotrrlClrATC Mnt INCD i rAMrCI I ATInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins
- - - CQ -
80522
— ! -- --
c
— (N
0190W2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are.registered marks of ACORD