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HomeMy WebLinkAbout110722 AIR RESOURCE SPECIALISTS INC - INSURANCE CERTIFICATE (5)OP ID: SC ,acoRL7 TE CERTIFICATE OF LIABILITY INSURANCE D0614//017Y) 2 06/14017 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). CT PRODUCER Phone:970-223-1804 NAME: Front Range Insurance Group PHONE FAX 2002 Caribou Drive, Ste. 101 Fax- A/c No Ext : (AIC, No): Fort Collins, CO 80525 E-MAIL David A. Wooldridge LUTCFAAI PRODUCER CUSTOMER ID #: AIRRE-1 INSURERISI AFFORDING COVERAGE NAIC # INSURED Air Resource Specialists, Inc INSURER A:Pinnacol Assurance 41190 Jim Allan INSURER B : Cincinnati Insurance Companies 10677 1901 Sharp Point Dr., #F Westchester Surplus Lines Ins Fort Collins, CO 80525 INSURER C: INSURER D : INSURER E : INSURER F : r0VFROrFS CFRTIFICOTF NIIMRFR- REVISION NIIMRFR- 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. lICY LTR TYPE OF INSURANCE I DL U POLICY NUMBER EFF MMLDD/YYYY POLICY EXP MMI D1YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES R occurrence $ 50,00 C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR X G23802910011 06/11/2017 06/11/2018 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X Professional Liab G23802910011 06/11/2017 06/11/2018 X ContractorsPollu GENERAL AGGREGATE $ 3,000,00 G23802910011 06/11/2017 06/11/2018 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,00 X POLICY PRO LOC $ B AUTOMOBILE X LIABILITY ANY AUTO X EBA0145843 06/11/2017 06/11/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS HIRED AUTOS EBA0145843 06/11/2017 06/11/2018 PROPERTY DAMAGE (Per accident) $ X B X NON -OWNED AUTOS EBA0145843 06/11/2017 06/11/2018 HNOAPhyDmg $ 50,00 FXJ $ B HNOA Physical Dmg EBA0145843 06/11/2017 06/11/2018 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 C EXCESS LIAB CLAIMS -MADE G2422481800T 06/11/2017 06/11/2018 DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 1477562 05/01/2017 05/01/2018 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 C Bus Pers Prop EPP0145843 06/11/2017 06/11/2018 ALL LOCS 814,20 BUS Inc 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City Fort Collins, it officers, agents and employees are listed as Additional Insured with respect to the General Liability Policy and the Commercial Auto Policy L;tKIIt-lt AIt CITY OF City of Fort Collins Joe Adlhoch 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD