HomeMy WebLinkAbout124317 ADVANCED ROOFING TECHNOLGIES - INSURANCE CERTIFICATE (4)11/10/2004 12:22 9702256596 FRONT RANGE INS PAGE 01/01
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID
ADSIAN-3
DATE(MMwrrYYY)
11/ 10 / 04
PRODUCER
THIS CERTIFICATE 19 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
Phoae: 970-223-1804
INSURERS AFFORDING COVERAGE
HAIL #
INSURED
WAURr_RA Continental western
V�dVaneed Roofing Technologies
eill Steeves
2004 HeayA P W Vnit 8
Ft. Collins CO 80524-2725
IMLIRER8 National Fire & Marine
INSURER C.
_.
MSLRER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HOVE SEEN ISSUED TO THE INKRED NAMED APaVE FOR THE POLICY PE910D INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM CA CONDITION OF ANY CONTRACT OR OTHER. DOCUM.IFNT WITH RESPECT TO WHICH THIS MRTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE IERMR. EXCLUSIONS AND CONDITIONS OF SJCIR
POLICIES, AGGREGATE LIMITS SHOWN MAY tAVE BEEN REDUCED BY PAID O AIMR
LTR
TYPE OF INSURANCE
POLICY NVIABER
DATE (mwrAjOMq
BATE MID
LIMITS
aDERAL LIABILITY
F.4LH OCCURRENCE
$ 1, OOO , D DO
$
X
$ COMMERCIAL GENERA, LABILITY
CLAIMS MADE nOCCUR
72LB161498
02/02/04
02/02/05
TMMM
PREMISES (Enottoronce}
Sy0,OD0
MEA EXP(ATMone parson)
$5,000 _
PERSONAL GA.OV INJURY
$ 1, 000 000
ORPRA. AGGREGATE
12,000,000
GFNI AGCdMEGATE LIMIT APPLIES PER
PROOLICT9-COMPmP AG
$2,000,000
X POLICY JIBE T LOC
AVTOMOBILE
LIABILITY
ANY AUTO
COMBINED 51NGLE LIMIT
(Ea OCCIded)
S
All. OWNED AUTOS
RCIAGO L[D AUTOS
BODIL...
(PAP INJURY
)
W,
R
HIRED AUT05
NUN..OVVNEDALrrOS
BODILY INJURY
(Pw OcddOM)
$
PRCPGRTY DAMAGE
(Nor dE0100M)
$
AOE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY ALITO
r
OTHER THAN EA ACC
AUTO ONLY. AGG
$ ,-
t
DMCESWUMBRELLALABILITY
EACH OCCURRENCE
t
OLCUR ❑ CLAIMS MADE
AGGREGATE
$
-
t
".ICTIB.F
$
RETENTION
WOMt RS COMPENSATION AND
EMPLOYERS' LABILITY
ANY PROPRIETORIPARTNERJEXECUTI VE
OPFICERMIENW..R EXCLUDED?
It YNF, dmmlha Luldw
SVECAL PROVISIONS balm
TCRY LIMITS ER
E.L. EACH ACCIDENT
,
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
A
OTHER
R
Property section
CGBP 2391076-21
12/21/03
12/21/04
A
JEquipment Floater
CKP 2391076-21
1 12/21/03
12/21/04
OEBCRI ON OF OPERATIONS I LOCAToNe r LES I EXCLUSIONS ADDED BY N00RSEMENT ISPEOIAL PROVISIONS
City of Fort Collins is additional insured with regards to general
Liability.
CERTIFICATE HOLDER CANCELLATION
FTCOL -1
SMOULD ANY OF THE ASOVE DISCRIBED POLICIES BE CANCELL50 BEFORE THE EXPIRATION
City Of Fort Collins
DATE; THEREOF, THE ISSUING IN"IR WILL 04MVQR TO MAIL 10 DAYS WRDTEN
Building & Zoning
NOTICE TO THIS CERTIFICATE HOLDER NAMEOTO TI4E LEFT BUT FAILUWVO 00 20 SMALL
Jan
P.O. Box 580
LIABILITYPOBE NO OBLIGATION DR LIABILITY OF ANY KIND UPON 7HE INSURER, TITS A,CENTB tlR
Fart Collins CO 60522-0980
REPRESENTATIVES.
AUTMD 9ENTATIVE
ACDRD 25 tzMID8) 0 ACORP CORPORATION 1988