Loading...
HomeMy WebLinkAbout110722 AIR SPECIALISTS INC - INSURANCE CERTIFICATE­--s"I'l OP ID: CT ACORN DATE (MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 06/08/2018 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 lieu of such endorsement(s). PRODUCER Phone: 970-223-1804 CONTACT a Insurance GroupNAME: Front Range PHONE FAX 2002 Caribou Drive, Ste. 101 Fax: _WC. No. Ext): (A/C, No): Fort Collins, CO 80525 E-MAIL John W. Bell ADDRESS: PRODUCER AIRRE-1 rusmuco In r• INSURED Air Resource Specialists, Inc Jim Allan 1901 Sharp Point Dr., #F Fort Collins, CO 80525 INSURER(S) AFFORDING COVERAGE NAk INSURER A:Pinnacol Assurance 41190 INSURER B: Cincinnati Insurance Companies 10677 INSURER C: Westchester Surplus Lines Ins INSURER D : rnVGRAnPQ rF=PTIFICATF NIIMRFR• 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. INSR LTR OF INSURANCE ADDTYPE 3. UBR POLICY NUMBER MMNDY EFF POLICY EXP MM DD/YYYY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X Professional Liab X G23802910011 G23802910011 G23802910011 06/11/2018 06/11/2018 06/11/2018 06/11/2019 06/11/2019 06/11/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT D PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X Contractors Pollu GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 3,000,00 $ B B B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS HNOA Physical Dmg X EBA0145843 EBA0145843 EBA0145843 EBA0145843 06/11/2018 06/11/2018 06/11/2018 06/11/2018 06/11/2019 06/11/2019 06/11/2019 06/11/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ 50,0010 HNOA Phy Dmg X $ C X UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE G24224818007 06/11/2018 06/11/2019 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 1477552 05/01/2018 05/01/2019 WC STATU- OTH- X TCRY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000,000 E.L. DISEASE - POLICY LIMIT C Bus Pers Prop EPP0145843 06/11/2018 06/11/2019 ALL LOCS 814,200 BUS Inc 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 with respect to the General Liability Policy and the Commercial Auto Policy rcoTlnrA,rc: unl nr-o rANCFI I ATInN 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 Financial Services AUTHORIZED REPRESENTATIVE 215 N. Mason St. - 2nd Floor PO Box 580 Fort Collins, CO 80522 U 1988-2UU9 AGUH:U GUKF'UKA I IUN. All rlgnts reserves. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD