HomeMy WebLinkAboutINTERSTATE ROOFING - INSURANCE CERTIFICATETHIS IS TO
CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I COLTR TYPE OF INSURANCE POLICY NUMBER POLICOATS EFFECTIVDDNYE POUCY OATS (MM/DD/ LOON LIMITS
11
GENERAL LIABILITY
4 COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY 3
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
COMBINED SINGLE LIMIT 13
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE 3
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 3
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT 3
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM "'-
AGGREGATE 5
OTHER THAN UMBRELLA FORM
3
A WORKERS COMPENSATION AND 4014554 10/01/2004 10/01/2005 X ORY IMTS GER EMPLOYERS' LIABILITY
EL EACH ACCIDENT 3100, 000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ 500,000
OFFICERS ARE: EXCL EL DISEASE- EA EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
City of Fort Collins
281 N. College Avenue
BOX 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TOp TyHE ment CERTIFICATE HOLDER NAMED TO THE LEFT,
BBUT or non-
�AKURE TO MAILt notice f SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
�.]�Ynnnnr�i i