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Home My WebLink AboutROGERS & SONS INC - INSURANCE CERTIFICATE 2023-2024A� �� OATE (MMlOD1YYY1f) �� CERTIFICATE OF LIABILITY INSURANCE osrou2oss TH15 CER7IFICATE 15 ISSUED AS A MATTER OF INFORMATION OiJLY AND CONFERS NO RIGHTS UPON THE CERTIFZCATE HOLDER. THIS � CERTIFICATE DQES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENd OR ALTER THE COVERAGE AFFORQED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANC� pdE5 NOT CONSTITUTE A CONTRACT BETWEEN TFiE ISSUING INSURER(S}, AUTHpRIZED REPRE5ENTA1'IVE QR PRODUCER, AND THE CER7IFICATE HOLDER. IMPORTANT: if the certificate holcler is an ADDITIONAL ENSURED, the policy(ies} must have ADDITIONAL INSURED provislons or be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiflcate does not conier rights to the certificate holder in ileu of such endorsement(s). PROOUCER CONTACT Moody InsuranceAgency NAMH: Moody InsuranceAgenry, 111^. PHCNNo exc: {343j 824-6600 �C No: (303) 370-Oi78 8055 East Tufts Avenue A�ESs: ceArequest@moodyins.com SLItB 1 OOU INSURER(Sj AFFORpING COVEFeAGE NAIC p Denver CO A0237 iNsuRerta: Union Insurance Co 25844 INSURE� INSIIRER B: A ��aC01 ASSUf8�C2 4119ii Rogers 8 Sons, Inc. �Nsu�� ; Indian Harbor Insurence Co 36940 6202 Beach 5t INSURER D: Denver CO 80221 I INSURER F: COVERAGES CERTIFICATE NUMBER: z3-24 Master REVISION NUMBER: THIS IS TO C£RTIFY THAT iHE POLICIES QF INSURANC� LISTED BELOW HAVE BE�N 15SUED Tp THE INSURED NAMEDABOVE FpR THE POLICY PERIp� INDICATE� NC]NNTWSTANDlNGANY REQUIREMENT, TERM OR COiV�ITION OF ANY CONTRACT OR O-HER �OCUMENT WITFi RESPECT TO WHICH THIS CERTIFICATE MAY BE IS5UE0 OR MAY pER7AIN, THE INSURANCE AFFORpED BY 7HE POLICiES pESCRI B�� HEREIN IS SUBJECT iOALL THE T�RMS, EXCLUSIONS AND CONDITIONS OF Sl}CH POLICIES. LIMITS SF{OWM MAY HAVE BEEN RE�UCED 8Y PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POUCY EXP LIMITS L7R IN D NND POLICY NUMBER MMfpDIYYYY MMlpb/YYYY X COMMERCIALGENERALLIABILITV EACF[OCGURRENCE S t�000,000 CLAIMS-MADE � OCCUR PREMISES Eaoeturtence 5 300,000 ME� EXP (Arry one person) S 14,000 A Y Y CPA262595838 05IC1I2023 05/0112024 pERSONAL&ADVINJURY S 1,000,000 GEN'LAGGREGnTE UµITAPPUES PER GENERaLnGGREGE+7E S 2.fl00,000 POLICY �X PR� � LOC PRO�UCYS-COMPlOPAGG s z�00D,000 JEC7 OTHER: S AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT S �,OOO,OOO Ea accident X ANY AUTO BODILY INJURY iPer persan) S q OwNED SCHEDULE� Y Y CPA262595838 05IOil2023 05/0112024 BODiLYIN,IURY�:Perarr;denq S AUTOS ONLY AUi'O5 HIRED �/ NON-0WNED PROPERTY DAMAUE S X AUTQS ONLY /� AUTO$ ONLY Per acudenl S X UMBRELLALIAB X OCCUR EACHOCCl1RREN;;E S 10.00O,OOU A EXCESS LIAB CLAIMS-MAbE Y Y CPA262595838 05/01/2023 OSlOt12024 pGGREGATE 5�0 000,000 DEO X REiENTfON S� S WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS' I.IABILITY Y f N ANY PROPRIETORIPARTNERlEXECUTIVE E L EACH ACC 6ENT S �•000,000 B OFFICERIMEM6ERE7CCLUDED? � N!A Y 3Q94572 05/0112023 05I01I2024 �Mandatory in NH) E t DISEASE EA EMPLpYEE 5 1,Da0,0�Q I( yas, descnbe untler 1, 000, 000 DESCRIPTION OF OPER0.TIONS Cetow E L �ISEASE - PJL ;;Y LIMIT S Contracto�s ProfessionallPollution Professionai Limit $i.000.00D C Liability PEC005897102 05101l2D23 OSI07l2024 Pollution Limit $1,000 U00 Deductihle $25.000 �ESCRIFTION OF OPERATIONS f LOGATIDNS 1 VEHICLES (ACORO 101, Addltional Remarks Schedule, may be attaahed if morc space ia requlredj Re: Contractor License Ciry of Ft Collins 281 N CollegeAve Pb Bax 580 Ft Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEU BEFORE THE ERPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCQRDANCE WITH THE POLICY PROVISIONS. � /! AUTHORIZE� REPRESEI'fTAT1YE O 1988-2015 ACORD CORPORATlON. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACO � `� AGENCY CUSTOMER IQ: ODa04501 LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSIIR�D Moody Insurance Agency, Inc. Rogers & Sons, Inr. POLICY NUMBER CARRIER NAIC COOE EFFECTIVE DATE AUDITIONAL REMARKS THIS AQDITIONAL REMARKS FORM IS A SCHEDLILE TO ACORO FORM, FORM NUMBER• 25 FORM TITLE: CeAifcate of Liability Insurance. Notes TfONA� NAMED INSUREDS Properties Inc. rs 8 Sons Inc. 401K Profit Sharing Plan & Trusl PER50NAL PROPERTY dF OTHERS Policy Number. CPA262595838 Policy EHective Dates: 5�'112fl23-511 r2024 Insurer Unwn Insurance Company (NAIC #25844] Valuation: Replacement Cosl Cause of Loss: Special Farm �imit $500 OCO Deductible' $1.Q00 CRIME POUCY Policy Number: CRA327464838 Policy Effective Dates: 51112p23-5l1�2024 lnsurer: Union Insurance Company (NAIC tk25844j Employee Theit �.im 1: $500,000 Oeduclible� $1.000 SC�-lEDULEO CONTRACTOR'S EQU PMENT Pp�ICY PoliCy Number. CPA262595838 Policy Effect,ve Dates: 5NI2023-5I1�2024 Insurer: Un on Insurance Company {NAIC #25844) Scheduled Conlractor's Equipment Value� $43,600 Scheduled Conlrector's Eqwpment �educt ble: $1,d00 LEASE� 8� RENTE� EQUIPMENi POLICY Policy Number; CPA262595838 Policy Effective Dates: 51112023-5l1+2024 Insurer: Union Insurance Company {NAIC q25844) Leased 8 Renled Eqwpment Limit: $1Q0.000 Leased 8 Renled Equipment Qeductible: $1,OD0 INSTALLATIdN FLOATER POLICY Policy Number: CPA262595838 Policy EHeclive �ales: 5I1I2023-511 �2024 Insurer: Union insurance Company {MAIC #25844) Jobsile Limit: $40U,000 Per pisaster Limit: $400.000 Femporary Localion Limit $400 OQO In Transit Limih t400,000 deductible: $4,006 �iABILITY APP�IES PER POLICY TERMS ANb CONdITIONS GENERAL LIABILITY CLCGOA92 101i8 form attached mcludes: 8lanket Addilional Insured Ongoing Operations status applies only where required by a wnften contraCt ar agreement. Blanket Waiver of Subrogalion stalus applies only where required by a wriflen contract or agreemenl ?43 9116 form attached includes Rddilional Insured Completed Operat ons status applies only where required by a wr Iten contrect or agreement. 114 3116 form atiached includes ial Insured Primary and Non-Contributory status applies only where requ red by a written I or agreement. LIABILI7Y !093 07121 form attathed mciudes t Addilional Insured status applies only where reqwred by a written cantract or agreement. y and iVon-Contributary stalus applies only where required hy a written :t ar agreement. ACORD 101 (2008l01 ] O 2008 ACOR� CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACOR� ACORO� �� AGENCY CUSTOMER ID: 000045U1 LOC #: ADDITI�NAL REMARKS SCHEDULE Page of AGENCY MAMEUINSUREO Moody Insurance Agency, Inc. Rogers & Sons, Inc. POLICY NUMBEp CARRIER NAIC C06E EFFECTIYE OATE: ADDlTIONAL REMARKS The ACORD name and logo are registered marks of ACORD �vvna+ iv. tia vw �! _ _"_ - __ _ _ __ _ _ . _. _ . . �