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Home My WebLink AboutJONAH LOVENDAHL ACC ROOFING - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Farnly Mutual Insurance Company if selection box is not checked. 6000 American Pky, Madison, Wisconsin 53783-0001 Insurels Name and Address Agenrs Name, Address and Phone Number (AgtMst.) Jonah Lovendahl DBA ACC Roofing Inc Daniel B Richmond (970) 484-2881 918 W Mulberry St 923 E. Prospect Rd Fort Collins, CO 80521-3515 Fort Collins, CO 80525-1110 (125/309) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certnc alD does not mn"W, extend Or alter tM 00"Mille afforded by the policies listed below. _ Tire is to certify Mat pdWW or IeuroM Noted below haw been lamed to Me inane rented above torlm poky period Indicated. notwithstanding. airy requlrerned, term condition or oY amuse «char document MM rasped to Mich ads owlikab maybe leaned or may pertain. to I sunnce ar«ded by tle poraee described herein to esuled to at the bme4 exdurions, and condition or such pokles. TYPE OF INSURANCE POLICY NUMBER DATE LIMITS OF LIABILITY EFFECTP O(PIRATION Hornsa whist eodry Wary and Property oampe Mobiblgmeownsra Liability Each commerce $ 1000 Boatotitirisrs Liability eady Wmy and property Drrrye __-__ Each Occurrence $ ,000 Personal Unibrelle Liability Beaty lNary and Property Damage Each Occurrence $ .000 FamifRanch Liability arm personal Iy $ EachOcarmnce ,000 Farm EmploWn Uabay Each Occurrance $ Workers Compensation and .000 Statutory Employers Liability t Each Arxlient $ 1000 oieeeee - Each Employee $ ,000 own" - Policy Lldt $ ,000 General Liability GWWA AQVWM $ 2.000 OOO ® ComnmrdWGeneral Products- completed Opendlons Aggrepatei $ 2.000.00o (occurrence) Liability5J24J2004 ❑ 5/24/2005 Personal and Ado $ 1.000 Each occurrence 0000nce $ 1,0,0 ❑DWNW to PrarnMe Rented to you $ 100,000 MadridOn Pare«n $ 5 BusinessoweMnLiability Each oaunancatt $ .000 AgvegMatt $ .000 Liquor Liability Co1n"10n c"18 UMN $ .000 Aggregate uoa $ ,000 Automobile Liability ❑ Any Auto- - Body Way - Each Perm $ ,000 O All Owned Autos Body - Each Accident $ _ _ 000 ❑ Scheduled Autos ❑ Hired Auto Property age $ .000 ❑ Nonowned Autos ❑ Bodily Way and property Wmage Combined $ ,coo Excess uabitity - ❑ Commercial Blanket Excess Each oca,mnarAggregate $ ,000 Other (hill liansous Coversass) BRA ,�5 t The individual or paMere ehorm as insured ❑Mee ❑Have not r, to be covered as employees underMis policy. Y' tt pneadb'Cmpbbd operations aggregab I equal to each occurrence, Balk and W Included In policy agDrWat► =CER7�k7A4'E'�I,�F�'�#1A1�ANDIfOi)R�SB . ,r: s L`ANGELt�F'EIQIN: ; ..;,' A .artiuru mq vat urw aan,vx, yrQ6farUW alkai 09 GAnO NFOU OerOre me expiration date thereto, the 00mpeny VA I andeavor to mail '( 10 days) written notice to the Certificate Holder named, but failure to mail such notice shell impose no obligation or Ilabilly of any kind upon the 0ompa its �pent� or representatives. *10 days unless different number�of days Town. ❑ This certifies coverage on the date ol issue only. The above described policies are subject to cancellation in confom* with their terms and by the laws of the state of issue. - _ 5/2W20()4 U-201 Ed. GM Certificate Holder Stock No. OWN Rev. 7/02 wvwv�vw THE POLICES OF INSURANCE LISTED BELOW HAVE SM 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 TD WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOFMIBURANCE POLICY NUMBER OA LIAIT8 17 GENERAL LIABILITY COMMERCIAL GENERAL LPBSIIY CLAWMADE OCCUR Not Covorod EACH OCCURRENCE f PREMISES am*=nnop : MEDEXP WYwopww) • PERSONAL ADV INJURY f GENERAL AGGREGATE s GENL AGGREGATE LIMIT APPLIES PER Mwucr El JE�CT El LOC PRODUCTS -COMNOP AGO S AUTOMOINLEUAsnm ANYAUTO ALLOMREDAUTOS SCHEDULED AUTOS HIREDAUtOS NON-0VNIEDAUTOS Not CoTnrod CONNNIMED )SINGLE LOW f BODILY "AIRY (Per Palm) S (BODLYINJU $ P VA"uGE s GARAGE L"LrrY ANYAUTO of N overod AUTO ONLY-EAACCNXNT f � OTHERTHAN EAACC AUTDDNLY. AGG S S VWESSA.VASRELLA LIABILITY OCCUR MANISMADE DEDUCTIBLE RETENTION S Not Coverod EACH OCCURRENCE s AGGREGATE 41 f f S A WORBCONPENSATONAND RENNINIlt MccumBw �o AeLfrr AW PONIC ID►ECMAL pPRGUB OIIS beww 4091645 5/28/04 6/1/05 TORYUMRS ER EL EACH ACCIDENT f 1 OOO A00 E.L. DISEASE -EAEMP 6 1,000,000 EL DISEASE -POLICY LSINT S 1,000,000 OPERAIMMILOMAT)ON81"/ EXCLUSIAM AMD BYM"NTISPECIAL elm CERTIFICATE MOLDER CANCEw►TTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIIATI, DATE THEREOF, THE ISIRSO INSURER WILL ENDEAVOR TD MAIL"_ DAYS ,"MITTEN NOTICE TO TEE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHM IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OI REPRESENTATIVES.