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Home My WebLink AboutWinston Cole, LLC dba Pella Windows & Doors, LLC - Insurance Certificate 2025 A ® 71/2/2025 TE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND 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 certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Karen Salas Arthur J.Gallagher Risk Management Services, LLC PHONE — — — FAX 4622 Pennsylvania Ave Ste 920 �c No.Ext1.816-395-8547 (A/C,No):816-472-5517 E-MAIL Kansas City MO 64112 ADR DEss: Karen_Salas@ajg,com _ v INSURERS)AFFORDING COVERAGE_ _ NAIC N INSURER A:Employers Mutual Casualty Company 21415 INSURED WINSCOL-02 INSURER B:Plnnacol Assurance Company 41190 Winston Cole LLC dba Pella Windows&Doors, LLC INSURER C: 4200 Carson Street INSURERD: Denver CO 80239 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:946802662 REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -------------------------------------- TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY INSR ADDL SUER POLICY EFF POLICY EXP LTR LIMITS A X COMMERCIAL GENERAL LIABILITY 6D54622 1/1/2025 1/1/2026 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE �OCCUR PREMISES a occurrence $500,000 MED EXP(Any one person) $10,000 _ PERSONAL&_ADV INJURY $1,000,000_ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY Fk]jP 0 [k]LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 6S54622 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $1.000.000 Ea accident _ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ g WORKERS COMPENSATION 4239504 1/1/2025 1/1/2026 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more apace Is required) General Liability -Blanket Additional Insured-Owners,Lessees or Contractors-Automatic Status When Required in Construction Contracts or Agreement Including Completed Operations-Primary and Noncontributory per form CG 7174 Blanket Additional Insured-as Required by Contract per form CG 7578 Blanket Waiver of Subrogation per form CG 7578 Blanket Primary and Non-contributory Additional Insured per form CG 7578 Auto Liability See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Community Development and Neighborhood Sery 281 N. College A AUTHORIZED REPRESENTATIVE Fort Collins CO 80526 � USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD