HomeMy WebLinkAboutACC ROOFING - INSURANCE CERTIFICATE (2)P/NNAC COL
ASSURANCE
CITY OF FORT COLLINS
P 0 BOX 580
FORT COLLINS CO 80522
7501 E Lowry Blvd
Denver, CO 80230-7006
www.pinnacol.com
November 10, 2006
Policy #: 4081645
INSURED: AGENT:
ACC ROOFING INC CONSOLIDATED AGENCIES/DANIEL INS AG
918 WEST MULBERRY ST 2627 REDWING RD, SUITE 330
FORT COLLINS CO 80521 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 / (998) 329-2210
NO + . 2006
CITY OF FOR I'CULLINS
RISK MANAGEMENT
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