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HomeMy WebLinkAboutACC ROOFING INC - INSURANCE CERTIFICATEACOR " CERTIFICATE OF LIABILITY INSURANCE DATE(MD9„212007YY' M2DD7 PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 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 ACC ROOFING INC INSURERA PINNACOL ASSURANCE 41190 INSURERS. 1713 E. LINCOLN AVE wsHRESC UNIT B3 FORT COLLINS, CO 80524 wSURED. INSURER E. COVERAGES 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 DOCUMMENT 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. NOR ADDL POLIOYEFECTIVE POLICY EXPIRATION LIP INSRD TYPEOF INSURANCE P.UCYRLM.P DATEIMMIDD/WYY) DATE(MMIOOM'YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED. COMMERCIAL GENERALLr LIAEIUTY CLAIMS MADE OCCUR PREMISES MED E%P(Any ane person) PERSONAL B ADV INJURY GEN L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS - COMPIOP AGO POLICY PROJECT LOC (_AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accitlenl) BODILY INJ URY ALL OWNED AUTOS SCHEDULED AUTOS (Per,--) BODILY INJURY HIRED AUTOS NON-0WNEO AUTOS (per acclGenl) PROPERTY DAMAGE (Peraccltlen0 GARAGE LIABILITY AUTO ONLY-EAACLIDENT OTHER THAN EA ACL ANYAUTO AUTO ONLY'. AG EXCE SSNMBRE L(A (ABILITY EACH OCCURRENCE I( OCCUR � CLAIMS MADE AGGREGATE I DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND X WCSTATLL Ll OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNEWE%ECUTIVE 4081645 06/01/2007 06/01/2008 TOW LIMITS EL EACH ACC I DENT $1,000, 000 OFFICER/MEMBER EXCLUDED' EL DISEASE - EA EMPLOYEE $1,000, 000 ITyes. please tla¢rnbeuntlerSPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $1000000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1014064 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS PURCHASING DEPARTMENT THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 215 N MASON ST MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charles Doggett ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY THE CITY OF FORT COLLINS PURCHASING DEPARTMENT 215 N MASON ST FORT COLLINS CO 80522 IMPORTANT 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, certian 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.