HomeMy WebLinkAboutGORMAN ROOFING SERVICES, LLC - INSURANCE CERTIFICATEQATf (61M+OD/YYYY)
ACORD� CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMA710N ONLY Al�iD CONFEAS NO RIGliTS UPON THE CERTiFlCATE HOiDER. 7H1S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA7IVELY AIMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY 7FiE POLICIES
BELOW. THIS CERTIFtCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SETWEEN THE ISSUING INSURER(Sj, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
iMPORTANT: If the certiticate holder is an ADDITiONAL INSURED, the policy(fes) must have ADDITIONAL INSUflED provisions or be endorsed.
if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln pollcies may requfre an endorsement. A statement on
thks certificate does not confer r{ hts to the cerlificate holder In Ifeu of such endorsement s).
PRODUCER NAMEA Christina Babcock
Nolmes Murphy & Associates �Ot�E . 612-322-6071 ac ho :
2727 Grand Prairie Parkway E-MAIL
Waukee IA 50263 aoo»ess: cbabcockft�hoimesmurohv com
INSUREO
Gorman Roofing Sernces, LLC
2229 E. lin'tversity pr.
Phoenix, AZ 85034
wsuRe►ta: The Continentallnsurance Com ar
BLUTtiRpG ��URERB: �O�tl�2flt21 CaSU81�COrt1paF1Y
u+suReRc: Transportation Insu�ance Company
iNsuAeR�: CNA Insurancs
NAIC C
35289
_ 2aaas
20494
F:
COVERAGES CERTIFICATE NUMBER:955808875 REVISION NUMBER:
THiS IS TO CEF7IFY THAT TFiE POLICIES OF INSURANCE LISiED 6ElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLiCY PERIOD
INOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION �F ANY CON7RAC7 OR OTHER DOCUMENT WITH RESPECT TO WHfCH TFi1S
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TFf� INSURANCE AFFORDED BY THE pOLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANq CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN HEDUCED BY PAfD CLAIMS.
INSR �ypE OF INSURANCE AbOLj�UeR POUCY EFF� j�POLICY EXP I LIMTS
LTR {yyy POIJCYfiUMBER MFNODIYYYY F MAWDfYYYY
A X COMMERC4AL GHNERAL LIABILITY ! 7034711565 11/9/2023 1119/2p24 � FpCH OCCURRENGE S 1 000,000
� ' �AMA M
CLAIFAS•MADE X OCCUR i { PREM�SES�Eaoewrreneo: 5500000
X I Contr Liab r.er � MED EXP (My one per�n) E 15 000
x Policy FormlxCU I PEASONAI & ADV INJURY $ 1 000,000
G£N'L AGGREGATE LIMIi APPLIES PER GENERAL AGGREGA-E b Z.OQ0.000
POLICY %� j�C7 %� LOC �
LPFiODUCTS COMPIOP AGG $ 2 000,000
OTHEA r 5
B AUTOMOBILE LIA91L1TY 7034711551 11(9/2023 � 1719/2024 C�MBINEO SlrtGt6 LIMIT g � OQ0,000
{Es acotlentl
X ANYAUTO BOOI�Y 4iJJUFY (PBrparsan) b
I OWNED SCHEpUl£0 BpDILY INJUAY (Por accidgni) §
�AUTOS ONLY AU705
HtRED NONOWNEO PROPERTYDAMAGE $
AUTOS ONLY i AUTOS ONLY �_�per accidonl�
5
B X' uMSR��v+uae X p��R I 70347t1534 itl912023 ti/91202a EqCHOCCURRENCE � 510,600.000
EXCE3S UAB C�qIMS-MADE I AGGREGATE S 10.Q00,000
� DE� ' X RETENTION 5 � � S
� WORKERSCOMPEMSATION 70347115b8 11I912023 1119l2024 �x � gTATU7E ERH
AND EMPLOYERS' LIABILITY
�ANYPROPRtET6RiPAFTNEWEXECUTIVfl Ya N! A ! E L. EACH ACCIDENT S 1,OOQ,Q00
OfFICER!MEMBEREXGI.UbED?
�{Mandalory In HH) � E L DISEASE - EA EMPLOYEF 5 1.OQ0,600
� If yas, dascribe undor t
I QESCRIPTION OF OPERATIONS bebw I E.L.OfSEASE • POUCY LIMIT b 1,OQO,Q00
A LeaseNRented Eqwp � 7034711565 11/9/2023 11/3/2024 Limn 3200,p00
D PoquOon Uabdiry CS870364q1783 11l9l2023 11l9/2024 �au�rence Ume 52.600,000
� Aggregate LimR a2.aoo.00a
DE3CRIPTION OF OPEflATSONS I LOCATION$ t VE1iIGLES (ACORD 101, Adtlltiona! RemarNe Sct�edute, mpy be etlached il mora 8pece la requUetl)
Proof af Insurance
CERTIFiCATE HOLDER
CANCELLATI ON
SHQULD ANY OF THH ABOVE DESCRIBED POLICIES BE CANCELLED 6EFORE
7HE EXPIRA710N DATE THfREOF, NOTICE WILL BE OELIYERED IN
ACCORDANCE YYITH THE POLICY PROVISIONS.
City of Fort Collins
281 N College Ave.
�or# Collins CO 80526
AUi RIZED REPRESENTATIVE
�Y '
� 1988-2015 ACORD CORPORATlON
ACORQ 25 {2016/�3) The ACORD name and logo are registered merks of ACORO
iHIS CERTIFICATE SUPERSEDES PREVtOUSLY ISSUEO CERTI�ICATE
Ali rights reserved.
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