HomeMy WebLinkAboutACC ROOFING - INSURANCE CERTIFICATEPINN/1COL
ASSURANCE
CITY OF FORT COLLINS
215 NORTH MASON
FORT COLLINS CO 80522
INSURED:
ACC ROOFING INC
918 WEST MULBERRY ST
FORT COLLINS CO 80521
7501 E Lowry Blvd
Denver, CO 80230-7006
www.pinnacol.com
November 10. 2006
Policy #: 4081645
REC&7M
N o v ..,. 2006
CITY 01- t,(.11k-OLLINS
RISK MANAGEMENT
AGENT:
CONSOLIDATED AGENCIES/DANIEL INS AG
2627 REDWING RD, SUITE 330
FORT COLLINS, CO 80524
(970) 223-5902
Notice To Certificate Holder Of Pending Cancellation
Pinnacol Assurance would like to inform you that the workers' compensation insurance policy through
our company for:
Policy #: 4081645
Insured: ACC ROOFING INC
for whom you currently hold a certificate of workers' compensation insurance, is scheduled to
terminate as of November 28, 2006.
If the insured listed above elects to maintain the policy, we will send you a notice rescinding the
cancellation.
As always, Pinnacol Assurance continues to be Colorado's premier workers' compensation insurance
company. If you have any questions regarding this letter, or if I can be of further help, please
contact me at the numbers listed below.
Sincerely,
Nichole Valdez, Underwriter
Phone:(303) 361-4475 / (888) 852-2268
Fax: (303) 361-5450/(888)329-2210
UBWIB 10-NOV2W61926: 15 40816a5 Upaaw 13/1511M p 19