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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 Powered ByCertlfcatesNow" to ACORD CORPORATION 1988 J 7 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 Powered ByCert/ficatesNowTM J