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HomeMy WebLinkAbout353790 AMERICAN AIR HEATING & AIR CONDITIONING INC - INSURANCE CERTIFICATE (10)AMERAIO-01 MBOOK AcoRo CERTIFICATE OF LIABILITY INSURANCE `—� DATE(MM/DD/YYYY) 03/26/2018 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 NAME: PHONE FAX (A/C, No, Exq: (303) 740-8101 (A/C, No):(303) 740-8019 Jewell Insurance Associates 8480 E. Orchard Rd., Suite 6200 Greenwood Village, CO 80111-5029 AbDRIE :Info ewellins.cOm INSURERS AFFORDING COVERAGE NAICI# INSURERA:AutO-Owners Insurance 18988 INSURED INSURER B:PInnacOl Assurance 41190 American Air Heating & Air Pam Birdwell INSURERC: 561 Garden East Dr., Unit F INSURERD: INSURERE: Windsor, CO 80550 INSURER F COVERAGES CERTIFICATE NUMBER: 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 LTRA TYPE OF INSURANCE ADDL INSD SUBR NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY _MDPOLICY EACH OCCURRENCE $ 1,000,000 FV7CLAIMS-MADE X OCCUR X 74105302 04/01/2018 04/01/2019 DAMAGE TO RENTED PREMI E Ea occurrence) 300,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PE� El LOC PRODUCTS - COMP/OP AGG $ 2,000,000 HNOA $ 1,000,000 OTHER A AUTOMOBILE LIABILITY COMaBINEeD SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO 4500151000 04/01/2018 04/01/2019 BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY X AUTOS $ PROPERTY DAMAGE Per accident $ AUTOS ONLY AUUTOS ONLYY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 4U50189 10/01/2017 10/01/2018 X PER OTH- TAT TE ER E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below A Equipment Floater 74105302 04/01/2018 04/01/2019 Tools 5,000 A Property - Spec Form 74105302 04/01/2018 04/01/2019 Contents - Rep[ Cost 181,740 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Fort Collins Utilities is included as an Additional Insured as respects the General Liability policy when required by written contract. lha;1112Lffi11IIIIIIIIII:Lai 4Ill V Fort Collins Utilities P.O. 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD