HomeMy WebLinkAboutBOB BEHRENDS ROOFING LLC K AND B GUTTERS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OAT05121/2008 '
TM
PRODUCER Phone (303) 805 AVIO(2843) Fax (303) 805 2845 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AVID INSURANCE CORPORATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1115 BROADWAY SUITE 203 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
DENVER CO 80203 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE ) NAIC #
Agency LICB CAB OE89926
INSURED
BOB BEHRENDS ROOFING LLC K&B GUTTERS LLC
BOB BEHRENDS ROOFING COMMERCIAL DIVISION LLC
614 $TH AVE
GREELEY CO 80631
INSURER National Union Fire Insurance Co
INSURER B United Specialty Insurance Company
INSURER C PINNACOL ASSURANCE
INSURER D
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 ALLTHE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR ADD
LTR INN
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY
LIMITS
MTE MMIDDIYY
DATE YM
GENERAL LIABILITY
IRH00JDC0805001
05/18/08
05118109
EACH OCCURRENCE
$ 1000000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES
§ $0000
CLAIMS MADE OCCUR
MED EXP (Any one person)
$ excluded
B
PERSONAL E ADV INJURY
$ 1,000000
GENERAL AGGREGATE
$ 2 000 000
(TEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
$ 2,000,000
PRO
POLICY X JECT M LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea amident)
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
$
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
(Per amdent)
$
PROPERTY DAMAGE
§
Per accident)
GARAGE LIABILITY
§
AUTOONLY EA ACCIDENT
OTHER THAN EA A
$
ANY AUTO
AUTO ONLY AGG
$
EXCESS
I UMBRELLA LIABILITY
BE1339466
05118/08
06H8109
EACH OCCURRENCE
$ 5000,000
OCCUR ❑ CLAIMS MADE
COMMERCIAL
X
AGGREGATE
$ 5,000,000
$
A
$
DEDUCTIBLE
RETENTION $ Q
$
WORKERS COMPENSATION AND
4087087
11/01107
11/01108
RYTLIMTS
OTHER
EMPLOYERS LIABILITY
EL EACH ACCIDENT
$ 500,000
C
ANY PROPRIETORIPARTNERIE%ECUTIVE
EL DISEASE EA EMPLOYEE
E 500 000
OFFICERIMEMBER EXCLUDED?
Ify d s rib d
E L DISEASE POLICY LIMIT
E 500000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER IS ADDITIONAL INSURED IF REQUIRED IN A WRITTEN CONTRACT(GENERAL LIABILITY)
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
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
IT S AGENTS OR REPRESENTATIVES
Attention
ACORD 29 t200110R1