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Home My WebLink AboutD&D ROOFING INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 9/7%2007 PRODUCER (303) 824-6600 FAX: (303) 370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive Suite 800 Denver CO 80209-3804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED D & D Roofing, Inc. 6270 E. 50th Avenue Commerce City CO 80022 INSURERA: Pinnacol Assurance 41190 INSURER B. INSURER INSURER D: INSURER E' 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. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADD'L TYPE OF INSURANCE POLICY NUMBER DA EYMMFDDNYE POLICY MM/DDNY) EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PR AGE TO RENTEDn $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE1:1 OCCUR MED EXP An oneperson) $ PERSONAL BADV INJURY $ GENERALAGGREGATE $ _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ PRO - POLICY JET IDO AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Eaacadent) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-0WNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC Ii ANYAUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION A WORKERS COMPENSATION AND A WCSTATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ SOD, 000 OFFICERIMEMBER EXCLUDED? 4048526 10/1/2007 10/1/2006 If yes, describe under SPECIAL PROVISIONS be. E.L. DISEASE -POLICY LIMIT 8 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 10 day notice of cancellation applies to non—payment of premium. City of Fort Collins 281 North College Avenue Fort Collins, CO 80522 ACORD 25 (2001108) rucnvc,,,,,,a,,,o.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE L VRansom, CTC,, CPCU/J © ACORD CORPORATION 1988 u'SC _► If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INS025 (oi os) osa Page 2 or 2