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HomeMy WebLinkAbout564291 COMFORT BY NATURE - INSURANCE CERTIFICATE (6)g� R� DATE (MM/DDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/3/2017 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 Case Wieders an NAME: y p Crossroads Insurance Agency PHONE : (970)454-0686 FAX Noll:(970)454-6774 213 1ST STREET MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # EATON CO 80615 INSURED Air Repair Heating & Air Conditioning LLC dba Comfort by Nature 6380 W 10th St Ste 10 AOhio Security Insu B:Pinnacol Assurance Greeley CO 80634 1 INSURERF: COVERAGES CERTIFICATE NLIMBFR-CL174302539 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 TYpE OF INSURANCE ADDL SUBR POLICY EFFT POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ::Xl OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 15,000 BKS55388112 4/1/2017 4/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY 7 JECT D LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Perperson) _ $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAS55388112 4/1/2017 4/1/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGEX Per accident) ccident $ NON -OWNED 1xx HIRED AUTOS AUTOS Bus Auto Enhncmt Endt $ UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N g STATUTE ER B(MandatoryFM�n ANY PROPRIETOR/PARTNER/EXECUTIVE—I NH MBER EXCLUDED? LYJ ' ) N / A 4012012 7/1/2016 7/1/2017 E.L. EACH ACCIDENT_ $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 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) lMgZA112Lh1\I=1111GL01401=1 9 bhergott@fcgov.com City of Fort Collins 300 Laporte Ave Fort Collins, CO 80522-0580 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 MIKI PENNEY/MIKI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 0014011