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HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (14)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/25/2018 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 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 holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Winter, CISR NAME: Flood and Peterson PHONE (970) 506-3206 FAx (970) 506-6846 A/C No Ext : A/C. No ADDRIESS, JVYnter@floodpeterson.com PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSORERA: Union Insurance Company of Providence 21423 Greeley CO 80632 INSURED INSURER B : EMCASCO Insurance Company 21407 INSURER C : Employers Mutual Casualty Company 21415 Air Comfort, Inc. INSURER D : Pinnacol Assurance 41190 150 Rome Court INSURER E : INSURER F : Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER: CLIS52523471 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 INSD WVD POLICY NUMBER MM/DDYYYY MMIDD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ X MED EXP (Any one person) $ 10,000 PD Ded:1,000 PERSONAL & ADV INJURY $ 1,000,000 A 5D8769619 06/01/2018 06/01/2019 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO JECT LOC FX PRODUCTS COMP/OP AGGPOLICY $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO B OWNED SCHEDULED 5E8769619 06/01/2018 06/01/2019 BODILY INJURY (Pe raccident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE 'Per accident $ HIRED NON -OWNED X H AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 C EXCESS LIAB CLAIMS -MADE 5JB769619 06/01/2018 06/01/2019 DED I X1 RETENTION $ 0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y/ N STATUTE ER ELEACH ACCIDENT 1,000,000 $ D ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA 4041318 06/01/2018 06/01/2019 1,000,000 CERIMEMB OFFICER/MEMBER EXCLUDED. (Mandatory in NH) E.L.DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is listed as an Additional Insured as respects General Liability. CERTIFICATE HOLDER CANCELLATION 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 CO 80522 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD