HomeMy WebLinkAboutROOF-TEC NATIONAL INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDDIYYYY)
ROOFT-1
04 26 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1109 Oak Park Drive Suite 101
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: Continental Western
INSURER B: Pinnacol Assurance
Roof-Tec National Inc.
DBA RTN Roofing Systems
INSURER C:
5854 Lockheed Ave.
Loveland CO 80538
INSURER D:
INSURER E:
r1r9VFRA(:FA
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDDIYY
DATE MMIDDIIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
CWP26$042421
05/01/07
05/01/08
EACH OCCURRENCE
$ 1 r 000 r 000
PREMISES (Eaoccurence
$50,000
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1 r 000 r 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PJECTRO LOC
PRODUCTS-COMP/OP AGG
$2r000r000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP268042421
05/01/07
05/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 OOO OOO
r
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTYDAMAGE
accident)
$
ri(Per
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
H yes, describe under
SPECIAL PROVISIONS below
4054406
04/01/07
04/01/08
X TORY LIMITS I I ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -IAA EMPLOYE
$ 100 r 000
E.L. DISEASE - POLICY LIMIT
1 $ 500 000
A
A
OTHER
Commercial Applica
Property Section
CWP268042421
CWP268042421
05/01/07
1 05/01/07
05/01/08
05/01/08
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
VCR I lrl VI11 C IIVLVCR VI'11\VCLLf\ 11VI\
CITYF-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. Box 580
Ft. Collins CO 80522-0580 REPRESENTATIVES.
AUTHORIZIDAVPRESEMAT �-
1988