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Home My WebLink AboutACC ROOFING - INSURANCE CERTIFICATE (6)ACORD, CERTIFICATE OF ODDl LIABILITY INSURANCE °AIE'1012212208 PRODUCER ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry ', AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Denver, CO 80230230-7006 COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED -- - IINSURIRA PINNACOL ASSURANCE 41190 ACC ROOFING INC -- 1713 E. LINCOLN AVE IINSURERS UNIT B3 USURERc FORT COLLINS, CO 80524 NSURERD II, INS URER1 COVERAGES.._.... 1'HF POLICIES OF INSURANCE. LISTED BE. LOW HAVI BI r5N ISSUED TO I I IF INSURED NAMED ABOVE FOR THE POLICY PI RIOD INDICA i ED.-NOIWITHSTAN LNG ANY REQUIREMENT, TERM OR CONDITION 01- ANY CON IRACT OR OI IIER DOCUMMEN I WITH RESPECT IO WHICI-I IBIS CERTII-ICATE MAY BE ISSUED OR MAY PERTAIN, T HE INSURANCE AI LORD[ 1) 13Y IHL POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THIL I LRMS, EXCLUSIONS AND CONDII IONS 01 SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN FLEECED BY PAID CLAIMS. IN512 ADDL POLICY EFFECTIVE POI ICY EXPIRATION LIR INSRO T YPL Or INSURANCE__. I POIICYNUTABER DATI(MM/DDIYYYY) DAI EUMIMIDDIY_YYYI LIMITS GENERAL HABIT BY EACH OCCURRENCE _ _ j I, LOIAMEI2CIAL GLNEIML t IADILIT Y DAMAGE TO RENTED I_ CLAIMS MAO6 OCCUR I I (PREMISES GENERAL AGGRFGAII G[NL AGGREGATE LIMIT APPLIERS PER. l PRODUCTS COME PIOP AGO POLICY L PROJECT( LOC _ ___ AUTOMOBILE LIABILITY I � 'COMBINED SINGLE LIMIT ANY AUTO (La Accitlenll ___ - ALL OWNED AUTOSI BODILY INJURY SOHED-TEDAUTOS HIRED AUTOS 1 BODILY INJURY NON OWNED AUTOS ((Per accitlenp ___ PROPERTY DAMAGE lAGE LIABILITY IWIVV:VLi- ANYAUTO OTHERTHAN AUTOONLY :ESSIUMBRCUA IJABIIJ IY .... EACHOCC_UP OCCUR : CLAIMSMAIJE (AGGREGATE DEDUCTIBLE .. .RETENTION WORKERS COMPENSATION AND WO STAIN (OTHER A EMPLOYER'S LIABILITY ORYLORS ANY PROPRIETOILPAI2frvElUE%[CUTIVE 4081645 06/01/2008 06/01/2009 i CLCACH ACCIDENT OFFICERIMEMOER EXCLUDED' UDEDP T. DISEASE rAEMPLOYEE. Il yes,pleasedescr beundelSPECIAL PROVISIONS below DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CITY OF FORT COLLINS ATTN: PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522 ACORD CANCELLATION THE (EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE 10 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 'f0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON IHE COMPANY, ITS AGENTS OR AUTHORIZED REPRESENTATIVE Charles Doggett Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS ATTN: PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522 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"' CERTIFICATE OF LIABILITY INSURANCE DATE (MM2/2008YY) 10I2 I2008 PRODUCER _._._ __-__.—. _ __. PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED ACC ROOFING INC INSURERA PINNACOL ASSURANCE 41190 -- --__„. --- 1713 E. LINCOLN AVE INSURER _ _. __._ UNIT B3 INSURER c -.. .._. FORT COLLINS, CO 80524 wsuREaD INSURERE COVERAGES THE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI7HSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .__. 1 IN$R ADD'L POLICYEFFECTIVE POLICYEXPIRATION LTR INSIRD TYPE OF INSURANCEPOLICYNVMBER _ OATE-(MMDDIYYYYJ_ DATE(MMTDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I n� J CLAIMS MADE OCCUR PREMISES MED E%P{Any parsol) PERSONAL B ADV INJURY _ GENT AGGREGATE LIMIT APPLIERS PER GENERAL AGGREGATE POLICY-0 PRONECTJ�_LOC PRODUCTS-CONNOR AGE _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT — ANY AUTO (EO Accltlent) --- ALL OWNED AUTOS BODILY INJURY 1 SCHEDULEDAUTOS Pm pms—J HIRED AUTOS BODILY INJURY NON OWNED AUTOS -- PROPERTY DAMAGE P idonl) GARAGE LIABILITY AUTO ONLY-EAACCIDENT_ ANY AUTO OTHER THAN EA qCC AUTO ONLY: AG E%GESSIUMBRELLjA LIABILITY -- -- _ OCCURRENCE 1 OCCUR CLAIMSMADE AGGREGATE AGGREGATE DEDUCTIBLE l RETENTION S WORKERS COMPENSATION AND YI WCSTATU (OTHER EMPLOYER'S LIABILITY.] A I_ ANY PROPRIETOWPARTNERIE%ECUiIVE 4881645 ORY LIMITS 06/01/2008 06/0112009 - ----- E.L EACH ACCIDENT $1.,000,000 OFFICERJMEMBEREXCLUDED9 _ If yes, plsasotlasaibsundar SPECIAL PROVISIONS below EL DISEASE EA EMPLOYEE $1,000,000 -OTHER ___-- --- --""—---""'.. E.L DISEASE POLICY LIMIT_, DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONSADDED BY ENOORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION -- 1108513 _ - SHOULDANYOFTHE OVE DESCRIBED POLICIES BE CANCELLED 69FORE- CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ATTN: PURCHASING DIVISION MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 580 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR FORT COLLINS CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -- ---- _-- __-- Charles Doggett ACORD 25(2001/08) _.. Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS ATTN: PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522 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.