HomeMy WebLinkAboutSCHROEDER ROOFING - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE
OF LIABILITY INSURANCE
° 06/0 2005'
PRODUCER
COLORADO WORKERS'
Serial # A3485
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
COMPENSATION NETWORK, INC.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6635 S. DAYTON ST, SUITE 240
GREENWOOD VILLAGE CO 80111
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: PINNACOL ASSURANCE
INSURER B:
SCHROEDER ROOFING CO.
INSURER C:
1300 NORTH MONROE AVENUE
INSURER D:
LOVELAND CO 80537
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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
HSR
LTR
ADWL
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/ IVY
POLICY EXPIRATION
DATE MM/DD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTEDPREMISE Men
$
CLAIMS MADE OCCUR
MED EXP (Any oneperson)
$
PERSONAL& ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$
POLICY 7 PEOT LOC
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Peraccident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER7HAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGO
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKER'S COMPENSATION AND
4030163
6/01/05
06/01/06
X IT CSTAIT IT
A
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
EL EACH ACCIDENT
$ 500,000
ELDISEASE-EA EMPLOYEE
$ 500,000
It yes describe under
SPECIAL PROVISIONS below
EL DISEASE -POLICY LIMIT
1 $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF FORT COLLINS
PO BOX 580
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
FORT COLLINS CO 80522
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE THHOMAS SOEHNGEN
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988