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HomeMy WebLinkAbout169120 AIR COMFORT INC - INSURANCE CERTIFICATE (17)/ A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/31/2017 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Jennifer Winter CISR NAME: FAX PHONENo. UVC.(970) 506-3206 A/C No: (970)506-6846 ADDRESS:`inter@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Union Insurance Company 25844 INSURED Air Comfort, Inc. 150 Rome Court Fort Collins CO 80524 INSURER B :Pinnacol Assurance 41190 INSURER C : INSURER D : INSURER E : _ INSURERF: COVERAGES CERTIFICATE NUMBER:CL1753117960 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' LTR TYPE OF INSURANCE AD UB POLICY NUMBER MMIDDnYYY MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1 , 000 , 000 X MED EXP (Any one person) $ 10,000 PD Ded: 500 CPA302878025 6/1/2017 6/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY II ECQT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CPA302878025 6/1/2017 6/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIRE ) AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 - AGGREGATE $ 6,000,000 A EXCESS LIAB CLAIMS -MADE DED I X RETENTION$ 0 $ CPA302878025 6/1/2017 6/1/2018 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/W ANY OFFICER/MEIMBOER/EXCLUDED? ECUTIVE I (Mandatory in NH) N / A 4041318 6/1/2017 6/1/2018 X PER OTH- STATUTE ER 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 $ 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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. City of Fort Collins PO Box 580 Fort Collins, CO 80522 UANULLLA 1 IUN 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 (2014/01) INS025 onl4n1i J Winter, CISR/JWINTE ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD