HomeMy WebLinkAbout399198 FRONT RANGE ROOFING SYSTEMS - INSURANCE CERTIFICATEIMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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Client#:19172
FRR00
ACOR.DT,. CERTIFICATE OF LIABILITY INSURANCE
(MMIDD/VYVY)
0DATE
4/18/08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins. Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. 0. Box 578
4687 W. 18th Street
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Front Range Roofing Systems LLC
222 13th Ave
INSURER A: Continental Western Group
INSURERB: Pinnace] Assurance
-
--'
INSURER C.
Greeley, CO 80631-2272
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
LTR
DO
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
CWP2564246
05/01/08
05/01/09
EACH OCCURRENCE
$1006000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
DAAMAO TO
OERENTED
$1661 666
MED EXP (Any one person)
$5 000
X PDDed:5,000
PERSONAL & ADV INJURY
$1006000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2000000
POLICY FX ircr DLOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CWP2564246
05/01/08
05/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,666,666
DOINJURY
(Perr person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
CU2573577
05/01/08
05/01/09
EACH OCCURRENCE
$5 000 000
AGGREGATE
$5 006 000
$
ff
XI
X RETENTION $ 10000
$
B
WORKERS COMPENSATION AND
1946560
06/01/07
66/01/06
�( We srnru- DTH
B
EMP RS'LIABILITY
PRO
ANY PROPRIETORIPARTNERIEXECUTIVE
1946560
06/01/08
06/01/09
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe underSPECIAL
E.L. DISEASE - EA EMPLOYER
$1,666,666
E.L. DISEASE -POLICY LIMIT 1
$1,000,000
PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
P 0 Box 580
Fort Collins, CO 80522
I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _g0_ DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
^�+rtv ao 1'...ruo17 of 2 SM41261ti DSM 0 ACORD CORPORATION 1988