HomeMy WebLinkAboutCALVIN TURNER ROOFING LLC - INSURANCE CERTIFICATE (4)ACORO� DATE(M M/DDlYYYY)
�� CERTIFICATE OF LIABILITY INSURANCE zi�r2oza
THIS CERTIFICAFE IS ISSUED AS A MATTER OF iNFORMATION ONLY AND CONFERS NO RIGH7S UPON TNE CERTIFiCATE NOLDER. THIS
CERTIFICATE DOES NOT AFFIAMATIVELY OR NEGATIVELY AMEND, EX7END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTiFICATE OF INSURANCE POES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING fNSURER{S), AUTHORIZED
REPRESEN7A71VE OR PHODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certiiicate holder ia an ADQITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terma and conditions of the policy, certain policies may require en endoraement. A statement on
this certificate does not conter rights to the certificate holder in Ifeu of such endoraement(s).
PR6DUCER ONTA
_NAME:
Arthur J. Gallagher Risk Management Services, LLC PfiONE F
10901 West 120th Ave Ste 100 {,uC, No, Ex�L 363-247-8417 �ac, Mo�: 303-444-8481
E•MAIL
Broomfield CO 8Q023 aooRess: sophia monosmith@AJG.com
INSURED
Calvin 7urner Roofing LLC
3128 West i 2th St.
Pueblo, CO 81003
INSUREH(S� AFFpRDING COVERAGE
iNsuaen a: Pinnaco! Assurance Company
CALVTUR-01 �NSURER B: CII1CIf1118U S� @Cl2IIy Uf1d01Wf1�ef5 IT15 CO
�NsuAeA c: Artisan & Truckers Casualty Company
NAIC /
13037
10194
GOVEHAGES CEi?TIFICATE NUMBER:492215754 REVISION NIJMBER:
THIS IS TO CERTIFY TfiAT TIiE 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 OTH�I� pOCUMENT WITH R[SPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEd BY 7HE POLICIES DESCRIBED HEREItJ IS SUBJ�CT TO ALl THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCN POLICIES. tfMITS SHOWN MAY HAVE BEEN REDUCED BY PAIO CLAIMS.
INSR TYPEOFINSURANCE` AODL$UBR pOUCYNUMBER MhVOD1YYYY MMlOD/YYYY LlMITS
LTR
B X COMMERCIALGENERALLIABIUTV CSU0109004 2I112024 ?J112025 EACHOCCURRF.NCE $1,000,000
� -6�AFAAGE'f�AErI7�0
j CLAIMS-MaDE %� OCCUR PREMiSES Ea occurrence $100,OOU
i— ---_)
MED EXP (Any one person� 55,000
PERSONAlB ADV INJURY S 1,000,000
GEN'L AGGREGATE uMIT AGPUES PER: GFNERnL AGGREGATE S 2,000,000
POLICY PR� I � LOC PRODUCTS-COMP/OPAGG 52,000,000
X 3ECT
OTHER: S
C AU70MOBILELIA8ILITY 965709840 211l2024 2/1/2025 MBINED !N LELIMIT g��p00,000
sEa acddanl�„T
X ANY AUTp BODILY INJURY (Per persan) $
OWNED SCHEpULED BpDtLY INJURY (Per pcClABni) 5
AUTOS ONLY AUTOS
X HIRED X NON-OWNEO PROPERTYDAMAG£ g
AUTOS ONLY AUTOS OMLY {Per ecadent) ��
5
8 UINBRELIAUAB X OCCUR CSU0124995 217l2024 2/112025 EACHOCCURRENCE 51,000,000
X EXCESSLIAB C�qIMS-MADE AGGREGATE 51,000,000
DED PETENTION$ S
p WORKERS COMPENSATION 412B974 Z!}(2024 2/112025 X PER OTM-
ANDEMPLOYERS'LIABILITY Y�N S7ATUTE EH
ANYPROPRfETORlPARTNflfVEXECUTIVE � E.l EACH ACCIOENT S 1.000^000
OFRCERlMEMB[fi[XCLUDED? N�A
(Mendatory in NH} E.L. DISEASE - EA EMPLOVEE S 7,000,000
t! yes, descnbe under
DESCfiIPTION OF OPERATlONS belaw E.L. DISEASE -POLICY LIMIT S 7.000,000
DESCRIPTION OF OPERATIONS! LOCA710NSlVEHICLES (ACOp0101, Adtlitional Remarke Schedule, may beattached il moro npace ia requiroA)
Roofng Contractor
CERTiFICATE HOLDE
City of Fort Collins
PO Box 580
Fort Collins CO 80526
USA
ACORQ 25 (2016/03)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAMCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AVTNORIZEO REPRESENTATIYE
�'� ��-�.
p 1988-2015 ACOpb CORPORA710N. All rights reserved.
ihe ACORD name and logq are regisfered marks of ACORD