HomeMy WebLinkAboutCLIMATE ENGINEERING INC - INSURANCE CERTIFICATEACOR[DI CERTIFICATE OF LIABILITY INSURANCE
ila.�
DATE(MMIDDNYYY)
1 12/15/2015
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((es) 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 lieu of such endorsements .
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO
CONTACT Demetra Ramey
NAME:
PHONE . 303-996-7859 Fax 303-757-7719
E-MAIL dramey@crsdenver.com
INSURERS AFFORDING COVERAGE
NAIC0
INSURER A:Continental Western Ins Co.
10804
INSURED CLIMA-1
INSURER B:PInnacol Assurance
41190
Climate Engineering, Inc.
10180 W. Hampden Ave.
Lakewood CO 80227
INSURER C:
INsuRERD:
INSURER E :
INSURER F :
C(1VFDAPCR PCCTICIPATC MIIaaCCO. 79R00069;9 eI I ... I,u unaa ere.
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.
INSR
LTR
TYPE OF INSURANCE
INSD
WVD
POLICYNUMBER
POLICY EFF
MM/DDNYYYI
POLICY EXP
IMMfDDNYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CPA3084930
1/1/2016
1/1/2017
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE �X OCCUR
DAMAGE TO RENTED
PREMISES(Ea accurrenoe
$500,000
MED EXP (Any one person)
$10,000
PERSONAL B ADV I NJURY
$1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
POLICY a PRO- LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS-COMP/OP AGO
$2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
CPA3084930
1/1/2016
1/1I2017
COMBINED SINGLE LI9T__
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
CHHEESULEDBODILY
AUTOS tJED SSAUTO
Ix
INJURY (Per accident)
$
HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMA E
Per accident
$
A
X
UMBRELLA LIAR
X
OCCUR
CPA3084930
1/1/2016
1/1/2017
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
EXCESS LIAB
CLAIMS -MADE
DED X RETENTION $None
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑N
N I A
4051902
1/1/2016
1/1/2017
X STATUTE EORH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
A
Leased/Rented
Equipment
Special Form/ACV
CPA3084930
1/1/2016
1/112017
Limit 25,000
Deductible 1,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more apace Is required)
All policy terms, conditions and exclusions apply.
City of Fort Collins
281 N. College Avenue
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.
AU74ra&;
EDD REPREI
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