HomeMy WebLinkAboutBILLINGS ROOFING & SOLAR INC. - INSURANCE CERTIFICATEAC R� CERTIFICATE OF LIABILITY INSURANCE °ATE`""�°°"r'�"'
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7HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATiON ONLY AND CONFERS NO RIGHTS UPON 7HE CERTIFICATE HOLDER. THIS
CER7IFICATE DOES IJOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENQ 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 csrtificate holder is an ADDITIQNAL INSURED, the policy(fes} must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemsnt A statement on
this certificate does not confer rights to the ceRiflcate holder in lieu of such endorsemenus).
PRODUCER NAME: CaflB R8f19110, CIC
Tedford Insurance - Jenks Office a�NNo ex� :(918} 299-2345 fuc No :(91 B) 299'S441
P O Box 1050 Ao�R carlar�tedfordinsurance.com
Jenks
INSURED
COVERAGES
OK 74037
ess.
INSURER(S� AFFORDING COVERAGE
iNsuaeR a: Bur��ngton tnsurance Company
iNsuaER 6: Mercury lnsurance
iHSURER C: Nawgators Specialty Insurance Company
iwsuReR o: CompSource Mulual Insurance Company
ir+SUReR E: Hiscox Insurance Company, Inc.
INSURER F :
Billings Roofing & Solar Inc.
11911 S. Oxford Ave
Suite 300
Tulsa OK 74137
CERTIFICATE NUMBER: 24�25 Liability
REVISION NUMBER:
NAIC M
23620
16810
36056
36188
10200
THIS IS TO CERTIFY THAT THE POlICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTAMDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACi OR OTHER DOCUMENT WITH RESPECT TO WHICH THiS
CERTIFICATE MAY BE ISSUED QR MAY PERTAIN, THE INSURANCE AFFORDEQ BY THE POLICIES DESCRiSEO HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIpNS AND CONDITIONS O� SUCH POIICIES IIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CIAIMS
LTR TYPE OF INSURANCE IN D Nf1+D POLICY NUMBER MMIDDlYYYY MMIDOlYYYY LIM}TS
COMMERCIAL GENERAL LIABILlTY EACH OCCURRENCE S ���00,000
CLAiMS-MADE � OCCUR PREMISES Eaoccunerue S�00,000
MED EXP (Any one Aersonl 5 ExGuded
A Y 895BG7019A 02l18l2024 0211812025 pERSONALBADVINJURY s�.OD0,000
GEN'LAGGREGATELiMI7APPLIESPER GENERALAGGREGATE S Z.000,000
PO�ICY � PR� � LOC PRODUCTS-COMP/OPAGG b z�OOO,OOO
JECT
OTHER Per ProjectAggregate 5 5,000,000
AUTOMQBILE LIABILITY GAMBtNED SINGLE LIMIT S 1,000,000
Ea acc�deM
ANY AUTO BODILY Inl}URY (Per person� 5
g OwroED SCHEDULED g242120248 02l2�l2024 0212112025 BODILY NJURY(Peracc,oentl S
AUTOS ONLY AUTOS
HIREO NON-0WNED PROPERTY DAMAGE s
AUTOS ONLY AUTOS ONLY Per aCC�tlenl
S
UMBRELLA LIAB p�CUR EACH OCCURRENCE 5 5,000,000
C EXCESS LIAB CIAiMS�MADE Y HO23EXCZOD74JIC 0211812024 0211812025 qGGREGATE � 5,d00,000
OED RETENTiON S S
WORKERS COMPENSATION PER OTH-
AND EMPLQYERS' LIABILITY STATUTE ER
Y f N 1,000,000
ANY PROPRIETOR/PARTNERlEXECUTiVE E l EACH ACC�DENT S
� OFFICERn�AEMe£R EXCIUOED? a N 1 A 03102534241 �2/0112Q24 02l01/2025
(Mandatory In NH) E l OISEASE EA EMPLOYEE S ti 000,040
�t yes. aescribe under 1,000,000
OESCRIPTION OF OPERATIONS Delav E L DISEASE - POLICY IIM�T S
Per OcCurence $1.000,000
Professional Liability
E ANE491207222 0211812Q24 02118/2025
6ESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, AdAltlonat Remarks ScheOule, may be ettecAe011 more space is requfred)
General Liabiliry pol cy includes Additiona' Insured clause includ ng On-going and Completed Operations, Pnmary/Non-Contributory, and Waiver of
Subrogation in tavor of certificate holdar as respects operat ons of the named nsured, ii reqwred under val�d written insured contract Auto policy mcludes
Waiver of Subrogation in favor oi cerl fcate holder as respects operations of ihe named insured, if required under valid wrilten insured contract. Workers
Compensation policy �ncludes Wa ver of Subrogation, in tavor oi certificate holder as respects operations of the named insured, ii required under vaE�d wntten
insured comrect Umbrella policy follows-form of underlyirtg Auto and Genera Liability regardmg Additional Insured and underlying Auto, General Liabiliry
and Workers Compensation regarding Waiver of Subrogation.
/^GGTICl/�11TL IJ/'11 f1Cff /�A\If�LI 1 ATIA\I
City of Fori Co lins
281 North Co!'ege
Fort Collins
ACORO 25 (2016103)
S3lOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN
ACCORDANCE WI7H THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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CO 80524 !'�'"���y:.-�,�.---�
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