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Home My WebLink About399198 FRONT RANGE ROOFING SYSTEMS - INSURANCE CERTIFICATE (3)cram$• 10179 ACARU. CERTIFICATE OF LIABILITY INSURANCE MIDDIYYYY) 4/18/ 04/18/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4687 W. 18th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Continental Western Group Front Range Roofing Systems LLC INSURERB: Pinnacol Assurance - 222 13th Ave 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. IN R LTR DD' NSRd TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MMIDDIYV POLICY EXPIRATION DATE MMIDDIYV LIMITS A GENERAL LIABILITY CWP2564246 05/01/08 05/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE N OCCUR DAMAGE TO RENTED PREMISES E r r $100 000 MED EXP (Any one person) $5 000 X PDDied: 5,000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2 OOO OQO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO 1 $2 oO0 0-00- POLICY PRO X LOC ECT A AUTOMOBILE X LIABILITY ANY AUTO CWP2564246 05/01/08 05/01/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUT'OS 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 _X1 OCCUR CLAIMS MADE CU2573577 05/01/08 05/01/09 EACH OCCURRENCE s5000000 AGGREGATE $5 OOO OOO DEDUCTIBLE _ XLLRETENTION $10000 _ _ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 1946560 1946560 06/01/07 06/01/08 06/01/08 06/01/09 X WC STATU- OTH. E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project: EPIC Roof Replacement Certificate holder is named as Additional Insured, as their interest may appear. City of Fort Collins P. O. Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ^��^� 1—u -1 1 IT Z a111141nro7o DSM 0 ACORD CORPORATION 1988 IMPORTANT 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. ACORD 25.S (2001/08) 2 of 2 #M412616