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HomeMy WebLinkAbout554880 ADVANCED FIRE INC - INSURANCE CERTIFICATE (5)A�� ® DATE (MM/DD/YYYY) AC" CERTIFICATE OF LIABILITY INSURANCE 06i28i2018 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 CONTACT NAME: Elizabeth A Kennedy Western Insurance Solutions Inc AICNo Ext : (719) 594-6883 FA No]: (719) 532-9996 E-MAIL beth@wisins.com Flintridge Drive, Suite 115 ADDRESS: betG Colorado S INSURED Advanced Fire, Inc 3518 Worwick Dr INSURER(S) AFFORDING COVERAGE NAIC # CO 80918 INSURERA: EVANSTON INS CO 35378 INSURER B : CONTINENTAL DIVIDE INS CO 35939 INSURERC: PINNACOL ASSURANCE 41190 Fort Collins CO 80525 INSURER F : rnvCaef_Cc rFRTIFIrATF NIIIMRFR• RFVISION NrIMRFR' 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 ADDL',SUBR INSD WVD POLICY NUMBER POLICY EFF MM/DDYYY POLIYICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 2AA137564 07/01/2018 07/01/2019 EACH OCCURRENCE $ 1,000,000 $ 100,000 DAMAGE TO RENED PREMISES Ea occurrence) MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO JECT ❑ LOC OTHER GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED HIRED AUTOS AUTOS 05APM007220-04 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ — PROPERTY accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NONE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EY (Mandatory in NH) If yyes, describe under DESCRIPTION OF OPERATIONS below N/A 4184598 07/01/2018 07/01/2019 X STATUTE ERH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 1 $ 500,000 E.L. DISEASE - POLICY LIMIT NONE DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service, refill and testing of fire extinguishers CERTIFICATE HOLDER CANCELLATION 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 300 Laporte Avenue AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD