HomeMy WebLinkAboutBONE DRY ROOFING, INC. - INSURANCE CERTIFICATEClient#: 71236 BONEDRY1
DATE (MMIDDlYYYY)
ACORD�, CERTIFICATE OF LIABILITY INSURANCE 4�osiZo23
TFilS C£RTIFICATE !S ISSUED AS A MATTER OF INFORMATlON ONLY AND CONFERS NO RIGHTS UPON TI1E CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CQYERAGE AFFORDED BY THE POL.IGIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HQLD�R.
IMPORTAiJT: If the ceRiflcate hofder Is an ADDITIONAL INSURED, the policy(fes) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the polfcy, ceRain policies may require an endorsement. A statament on
this certificate does not confer any rights to the ce�tificate holder in lieu of such endorsement(s).
PRODUCER NAME: MICFI@I@ .Jd�!'168
Huntington Insurance, Inc. P"�4"E 317-639-7241 A�
_Sn✓ , No, exa: �rvc No�: 677-205-2538
45 N. Pennsylvania St., 5TH Floor �'MA�G michele.'ames huntin ton.com
AD�RESS: J � g
lndianapolis, fN 46204
$8O 2B�i-ss87 INSURER(S) AFFORDING GOVERAGE NAIC N
iNsuRER n: Cincinnatl Insurance Company 1067T
iNsuREo � � iHs��RER e: Clncfnnatl Casually Co. ��~� 28665 v
Bone bry Roofing, Inc.
7735 Winton Drive
Indianapolis, IN 46268
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION IVUMBER:
THIS f5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABdVE FOR THE POLICY PERfOD
IMDiCATED NOTWITH57ANDING ANY RE4UIREMENT, TERM OR CONDIT40N OF ANY CONTRACT OR OTHER OOCUMENT VNTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED QR �AAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND GONQITIONS OF SUCW POIICIES. �IMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
N3R NpE OF INSURANCE ADDL�SUBR POLICY EFF POLICY EXP LSMITS
L7R INSR WVD POUCY NUMBBR MM/DDNYW MMlpplY`/VY
A �( COMMERClAL GENERAt LIABILIN Eppp48! 702 Q4l11/2023 Q4/11/202 EACH OCCURRENCE $� �00�,.00�
��AMAC�� TO RE NTE D
CiAIMS-MAOE �X OCCUR � EMI 3 eaocc�nence s500,000
GEN'L AGGR£GATE tIMIT APPLIES PER:
PRO•
POUCY x JFCT L�C
OTHER:
A^ AUiOMOBILE LIABILI7Y
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-0NMED
AUTOS ONLY
A j x� UMBftEiLAlIAB
! '•I EXCESSLIAB
OCCUR
CLAIMS-MADE
� WORKERS COMPENSATION I
AND EMPLOYERS' L1ABlUTY Y 7 M
AfJY PROPRIFTORlPARTNERJEXECUTMVE
OFFICERIMEMBER EXCLUDEO� � N 1 A
(Mendatory in NH)
if yes. describe �nder
DESCRIPTION Qf OPERA710NS below
A RentedlLeased
Equipment
EPPQ481702
EPPOa81702
EWCOa9b169
EPP0481702
1/2023104/11
1I2023104/11
1/2023104/77
1l2023! 04/11
M�p �XP (Eu,y a,e �rso�,) s 10 000
P[RSONAL & ADV INJURY S'I OOO�OOO
GENERALAGGREGATE $Z,00O�OOO
PROOUCTS-COMPlOPAGG $2�000,000
$
FO MB,I�qD SINGI� LIMIT �1,000.000
BOOILY INJURY (Per persony S
BODILY INJURY (Per ecc�tlenl) 3
PROPERTYOAMAGE $
Per accidenl
S
EACH OCCURRENCE SS1OOOaOOO
AGGREGATE $5 OQO OOO
$
X PER OFH-
s� �e
E L. EACH ACCIpENT S� 1000,000
E L. DISEASE • EA HMPLOYEE S� .00O.:OOO
E.L. DiS£ASE • POLICY LIMI7 $� OOD OOO
3300,000 Limit
$500 Deductible
DESCRIPTION OF OPERATIONS I 1,OCATIONS ! VEHICI,ES (ACORD 101, Addftional Remerks Schedule, may be attached ff more space fa required}
TE HOLDER
City of Fort Collins
281 N. College Ave
Fort cow�,s, co aos�a-000a
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE GANCEI.LED 9EFORE
THE EXPIRATION DATE THEREOF, NOTICE WiLI BE DELIVERED IN
ACCORDANCE WlTH THE POttCY PROVISION3.
AU�t10RIZE� REPRESENTATIVE
�
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