HomeMy WebLinkAbout124317 ADVANCED ROOFING TECHNOLGIES - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE
M/DDYY)
12/23/03
2/23���,.,
PRODUCER 1-303-534-4567
The IMA Financial Group, Inc.
INA of Colorado, Inc.
1550 17th Street
Suite 600
Denver, CO 80202
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
INSURED
Resource Management Systems, Inc.
7447 East Berry Ave., Ste 200
Greenwood Village, CO 80111
INSURER A: Pinnacol Assurance
INSURER B:
INSURER C:
INSURER D:
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 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.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDfYYi
POLICY EXPIRATION
DATE IMNUDDfYY1
LIMBS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one Penton)
$
CLAIMS MADE OCCUR
PERSONAL A ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$
POLICY PRO LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Penon)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
WC4067597
01/01/04
01/01/05
X WC STATU- OTH-
EEL
EMPLOYERS'LIABILI7Y
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEd
$2, 000, 000
E.L. DISEASE -POLICY LIMIT
I $1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
This Certificate shown that Advanced Roofing Technologies Ltd Inc. 2004 Heath Parkway, Unit B Fort Collins, CO 80524
is covered under the Worker's Compensation policy issued to Resource Management Systems, Inc.
Advanced Roofing Technologies, Ltd.
2004 Heath Pkwy, #B
Fort Collins, CO 80524
USA
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 INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
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AMR-D. CERTIFICATE OF LIABILITY INSURANC2/23E M/DDM!)
12/23/03
PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The INA Financial group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
INA of Colorado, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 600
Denver, CO 80202 INSURERS AFFORDING COVERAGE
INSURED
Resource Management Systems, Inc.
7447 East Berry Ave., Ste 200
Greenwood Village, CO 80111
A:Pinnacol Assurance
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.
INSR
LTRDATE
rypE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
IMMIODMI
POLICY EXPIRATION
DATE (MMMn1YYI
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$ _
MED EXP (Anyone person)
$
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
GEML AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
PRODUCTS - COMP/OP AGG
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC4067597
01/02/04
01/01/05
X `A'C STATU- 111
OR
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEd
$1,000,000
E.L. DISEASE -POLICY LIMIT
1 $2. 000, 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS
This Certificate shows that Advanced Roofing Technologies Ltd Inc. 2004 Heath Parkway, Unit B Fort Collins, CO 80524
is covered under the Worker's Compensation policy issued to Resource Management Systems, Inc.
raorrclrme unl nco I -I PAM!`CI I ATInu
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Advanced Roofing
Technologies, Ltd.
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 INSURER ITS AGENTS OR
2004 Heath Pkwy,
#B
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80524
USA
AUUKU L,a (/I`JY) 507M (9 A%,UKU I,UKrUKA I IUIV IU00
1528467
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