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Home My WebLink About110722 AIR RESOURCE SPECIALISTS INC - INSURANCE CERTIFICATE (4)OP ID: SC ,a►car�n CERTIFICATE 4F LIABILITY INSURANCE �-- D YY) 0611/20/r11 l2015 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 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 Ileu of such endorsement(s). PRODUCER Phone:970-223-1804 NAME: ONTACT Front Range Insurance Group 1100 Haxton Drive Suite 100 Fax: Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI PHONE FAX A1C No E : JC No): ADDRESS: ER CUSTOMER ID /: AIRRE-1 INSURERS AFFORDING COVERAGE NAIC N INSURED Air Resource Specialists, Inc INSURERA: Pinnacol Assurance _ 41190 Jim Allan INSURERS: Cincinnati Insurance Companies 10677 1901 Sharp Point Dr., #E Fort Collins, CO 80525 INSURER C: Westchester Surplus Lines Ins _— INSURER D INSURER E INSURER F 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. LTR TYPE OF INSURANCE POLICY NUMBER EFF MMIDDIYYYY EXP POLICYYYYY MMIDDI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaocturrence ., $50,000 C X COMMERCIAL GENERAL LIABILITY X G23802910009 06111/2015 06111/2016 CLAIMS -MADE u OCCUR MEDEXP (Any one arson $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Professional Liab G23802910009 06/1112015 06/11/2016 X Contractors Pollu GENERAL AGGREGATE $ 3,000,000 G23802910009 06l1112015 06/11/2016 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG $ 3,000,000 $ X1 POLICY PRE LOC B AUTOMOBILE X LIABILITY AN'f A'To X EBA0145843 06/11/2015 06/11/2016 COMBINED SINGLE LIMIT $ 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY BODILY INJURY (Per accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS EBA0145843 06/11/2015 06/11/2016 PROPERTY DAMAGE (Per accident) $ X NON -OWNED AUTOS EBA0145843 06/11/2015 06/11/2016 X HNOA Phy Dmg $ 50,00 $ B X HNOA Physical Dmg EBA0145843 06/11/2015 06/11/2016 X UMBRELLA LIAB X OCCUR EACH OCCURRLNCE $ 2,000,00 AGGREGATE $ 2,000,00 C EXCESS LIAB CLAIMS -MADE G 24224818005 06111 /2015 06/11 /2016 - - -- DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YINN OFFICERNEMBER EXCLUDED? J (Mandatory In NH) 1 A 1477562 05101/2015 05/01 /2016 X 70RYLAMITS OETH- E L EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 If yPs, describe under DESCRIPTION OF OPERATIONS below C Bus Pers Prop EPP0145843 06111l2015 06111)`2016 ALL LOCS 814,200 BUS Inc 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The city Fort Collins it officers, agents and employees are listed as Additional Insured wilEh respect to the General Liability Policy and the Commercial Auto Policy CERTIFICATE HOLDER 4AIYl.CL.LN I IVIV CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Director of Purchasing AUTHORIZED RE PRESENTATIVE PO Box 580 Fort Collins, CO 80522 W 1VUt3-1U1I AGVKU GVKF'VKA I IVIV. An rignis reserves. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD