HomeMy WebLinkAboutIMS HEATING & AIR INC - INSURANCE CERTIFICATE (5)7629/2018
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ACORO® CERTIFICATE OF LIABILITY INSURANCE
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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 NAME: CONTACT Jennifer Hunter
Professional Risk LLC PHONE (970)356-8030 11 (AICFAX No : (970)316-8032
--
8213 W.20th St E-MAIL jennifer.hunter@proriskllc.com
ADDRESS:
Greeley CO 80634 INSURERA:PeleuS Insurance Company__
INSURED INSURERB:Philadelphia Insurance CO 18058
IMS Heating & Air, Inc INSURERC:Pinnacol Assurance
5213 Longs Peak Road INSURERD:
#A INSURER E
Berthoud CO 80513 INSURER F :
rnn11=DArrcc 1'9:RTIl7IrATF NIIMRPR•18-19 All 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.
IN RI ADDL SUER
LTR TYPE OF INSURANCE
POLICY EFF POLICY EXP LIMITS
POLICY NUMBER MMfDDNM
$
COMMERCIAL GENERAL LIABILITY
!
EACH OCCURRENCE
$ 1 , 000 , 000
A
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 50,000
MED EXP (Any one person)
$ 5,000
103GL002440600
7/1/2018
7/1/2019
PERSONAL 8 ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
--
$ 2,000,000
POLICY, X PRO LOC
JECT
$
OTHER.
Blanket Al - Ongoing
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident?._
$ 1,000,000
B
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUTOS NON -OWNED
pxPK1845482
7/1/2018
7/1/2019
BODILY INJURY (Per person)
$
$
$
.
BODILY INJURY (Per accident),
PROPERTY DAMAGE
Per accident
Underinsured motorist BI CSL
1 $ 1,000,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
$ _
DED RETENTION $
Is
C
I WORKERS COMPENSATION
'AND EMPLOYERS' LIABILITY Y / N
IANY PROPRIETOR/PARTNER/EXECUTIVE
'OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) 1
K yes describe under
DESCRIPTION OF OPERATIONS below
4030868 7/1/2018
7/1/2019
X TATUTE OTH-
ER
E.L. EACH ACCIDENT_
$ 1,000,000
E.L DISEASE - EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HULDEK VAr1II+CLL/11 IU14
City of Fort Collins
Fort Collins Utilities
Attn: Kaye Mathea
PO Box 580
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.
AUTHORIZED REPRESENTATIVE
Dionne Perez/DP
U lUBB-ZU14 ACUKL) UUKF'UKA I IL)N. All rlgnis reserVeo.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)