HomeMy WebLinkAboutROOFTEC NATIONAL - INSURANCE CERTIFICATEACQRD,. CERTIFICATE OF LIABILITY INSURANCE S DATE (MM
ROOFT 1 29Y08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
1100 Haxton Drive Suite 100
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC N
INSURED
INSURER A: Continental Western
INSURER 8: Pinnacol Assurance
- --.. _.__._._ .. ..__
INSURERC
..................
Roof -Tea National Inc.
DBA RTN Roofing Systems
5854 Lockheed Ave.J
Loveland CO 80538
wsuREr,D
INSURER E:
Tf1E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 17OR'THE POLICY PERIOD INDICATED. NO"I WITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W N H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERT AIN, IHE 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.
INBR
➢
PO ICY PFEC IVE
POLO PIRATIONI
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDD/YY
DATE MMIDD/YY
LIMITS
GENERAL LIABILITY
EACII OCCURRENCE
S1,000,000
A
_.._.
X COMMERCIAL GENERAL LIABILITY
CWP268042423
05/01/08
05/01/09
'DATp;AGETORENTED ------
PREMISF,S(EaOCCurenCB)
_._-
$50,000
CLAIMS MADE X OCCUR
MFD EXP(Any one person)
85,000
PERSONAL & ADV INJURY
51,000,000
GENERALAGGREGATE
__.._.._____.._....._._........_....___.__.__._
52, 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
X I POLICY .. IECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S1 000r 000
A
X
ANYAUTO
CWP268042423
05/01/08
05/01/09
(En accident)
r
ALL OWNED AUTOS
BODILYINJURY$
SCHEDULED AUTOS
(Per person)
BODILY '
HIRED AUTOS
NONAW NEO AU TOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTOONLY EAf CCIDFNT
S
ANY AUTO
OTHEAACC
$
$
AUTO ONLY
AUTO ONE]': nGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
IS
OCCUR C_) CLAIMS MADE
AGGREGATE
W
$
DEDUCTIBLE
$
RETENTION S
WORKERS COMPENSATION AND
X TORYLIMITS ER
B
EMPLOYERS' LIABILITY
4054406
04/01/08
04/01/09
— .—._..._...___.__............._..._...___.._..___
EL, EACH ACCID514T
__._.._..
$100,000
ANYPROPRIETOR/ HNEWECUTIVE
E.L. DIS[ASG - EA EMPLOYEE
$100,000
EAR
OFFICER/MEMBEI't EXCLUDED?
XCLUDED?
If YYes, describe under
SPECIALPROVISfONSbelae
—'—"�----
E.1..DISEASE -POLICY LIMIT
-
$500 1, 000
OTHER
A
Commercial Applica
CWP268042423
05/01/08
05/01/09
A
Property Section
CWP268042423
05/01/06
05/01/09
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Ft. Collins
P.O. Box 580
Ft. Collins CO 80522-0580
CITXF-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $1[ALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AC CERTIFICATE ®F LIABILITY INSURANCE OP ID TS DATE IMMIDD/08
ROOST-1 04 29/OS
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Haxton Drive Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-223-1804 INSURERS AFFORDING COVERAGE NAIC0
INSURER A:
NSURER B:
Roof —Teo National Inc.
DBA RTN Roofing Systems INSURER c:
5854 Lockheed Ave. INSURERD:
Loveland CO 80538-S---_—
INSURER F.:
THE POLICIES OF INSURANCE ITSTF.D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1'HE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMEN1, I F-RM OR CONDITION 01: 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. AGGREGA f L LIMIT'S 81 IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
PVOUICT EXPIRATLON_ ----------'--
LTR NSR TYPE OF INSURANCE POLICV NUMBER DATE MMIDDIYY DATL MMIODIYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
£1, 000,OOQ
A
$ COMMERCIAL GENERAL LIABILITY
GWP26$042423
05/01/0$
05/01/09
PREMISES (Ea occorence_
550, 000
CLAIMS MADE uOCCUR
MED ESP (Anyone person)
$5,000
PERSONAL BADVINJUBY
s'1,00-0,000
GF.NERALAG.11GATE
s2,000 QQQ
GEN'L AGGREGATE EMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
_._.�__......__....__�
s2,000,000
}.' POLICY PRO-
JECT LOC
AUTOMOBILE
LIABILITY
A
x
ANY AUTO
CWP268042423
05/01/08
05/01/09
COMBINED SINGLE LIMIT
(Ea acrident)
S1,000,000
ALL OWNED AUTOS
._.,._._._.....___....___._
.�..___..
-
BODILY INJURY
$
--
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILYINJURY
$
NONTOW MILD nU'IUS
(Per accident)
PROPERTY DAMAGE
S
------------
(Per accident)
GARAGE LIABILITY
AUTO ONLY - FA ACCIDENT
5
ANY AUTO
----
OTHERTHAN EA ACC
_
S
S--
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
OCCUR � CLAIMS MADE
_.
AGGREGATE
5
S
�1
DEDUCTIBLE
$
RETENTION S
$
WORKERS COMPENSATION AND
X 1'ORYLIMITS ER
B
EMPLOYERS' LIABILITY
ANY PROPRIETORMAR'fNEWEXECUTIVE
4054406
04/01/08
04/01/09
-------------
E.L._E_ACH_A_CCIDENT
100,000
OFFICE EXCLUDED?
E.L. DISEASE - EA EMPLOYEES
_s
10 0 , 000
11 yes, describe under
Solibe Under
E.L. DISEASE - POLICY LIMIT
S 50 0 , 000
SPECIAL PROVISIONS below
OTHER
A
Commercial Applies
CWP268042423
E00_-/01/08
05/01/09
A
Pro ert Section
CWP268042423
/01/08
05/01/09
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Ft. Collins
P.O. Box 580
Ft. Collins CO 80522-0580
CJITYF-1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL, 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR