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HomeMy WebLinkAboutACC ROOFING INC - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked. 6000 American Pky Madison, Wisconsin 53783-0001 Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.) ACC Roofing Inc Daniel B Richmond (970) 484-2881 1713 E Lincoln Ave. Unit B3 923 E. Prospect Rd Fort Collins, CO 80524-4727 Fort Collins, CO 80525-1110 (005/316) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. COVERAGES - This is to coach, that 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. EOLICY DATE TYPE OF INSURANCE POLICY NUMBER OF LIABILITY EFFECTIVE EXPIRATIONLIMITS (Mo. Buy. Yr(Mo. Daw Yr Homeowners/ Bodily Injury and Property Damage Mobilehomeowners Liability Each occurrence $ .000 Boatowners Liability Bodily Injury and Property Damage Each Occurrence $ '000 Personal Umbrella Liability Bodily Injury and Property Damage Each Occurrence $ ,000 Farm/Ranch Liability Farm Liability & Personal Liability $ Each Occurrence 1000 Farm Employer's Liability Each Occurrence $ 000 Workers Compensation and Statutory Each Accident $ ,000 Employers Liability t Disease - Each Employee $ '000 Disease -Policy Limit $ ,000 General Liability General Aggregate $ 2,000 odo ® Commercial General Products- Completed Operations Aggregate $ 2,000 coo Liability (occurrence) ❑ 05-XF9581-08-00 5/24/2008 5/24/2009 Personal and AdvertisingInjury $ 1,000 000 Each Occurrence $ 1,000 '000 ❑ Damage to Premises Rented to You $ 100 000 Medical Expense (Any One Person) $ 5 Ooo Businessowners Liability Each occurrencet t $ Doo Aggregatett $ 1000 Liquor Liability Common Cause Limit $ '000 Aggregate Limit $ ,000 Automobile Liability Bodily Injury. Each Person $ 1,000 ,000 ® Any Auto ❑ All Owned Autos Bodily Injury - Each Accident $ 1,000.000 ❑ Scheduled Autos 05-XF9581-02-00 6/18/2008 6/18/2009 Property Damage $ ❑ Hired Auto 1,000 ,000 ❑ Nonowned Autos ❑ Bodily Injury and Property Damage Combined $ '000 Excess Liability ❑ Commercial Blanket Excess 05-XF9581-10-00 5/24/2008 5/24/2009 Each occurrence/aggregate $ 2,000 (M Commercial Liability Umbrella ,000 Other (Miscellaneous Coverages) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS t The individual or partners shown as insured ❑Have El Have not The commercial general liability policy is endorsed to include City of Fort elected to be covered as employees under this policy. Collins as additional insured on the CG 20 10 07 04 endorsement. 1 t Products -Completed Operations aggregate is equal to each0cw,raneelimitandisincludedinpolicyaggregate, CERTIFICATE HOLDER'S NAME AND ADDRESS CANCELLATION . City of Fort Collins Y Should any of the above described policies be cancelled before the date "( PO Box 580 expiration thereof, the company will endeavor to mail 30 days) to the Certificate Holder Fort Collins, CO 80522 written notice named, but failure to mail such notice shall impose no obligation or liability of any kind upon the its "y0 company, agents or representatives. days unless different number of days shown. ❑ This certifies coverage on the date of issue only. The above described policies are subject to cancellation in conformity with their terms and by the laws of the state of issue. DATEISSUED AUTHORIZED EPRESENTATIVE 10/22/2008 n I U ," Ma. . U•201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02 CC ®®Fin NCORPORATEO Commercial and Residential 1713 E. Lincoln Ave. Unit B-3, Fort Collins, Colorado 80524 w www.roofsbyacc.com O info@roofsbyacc.com © 970.493.2801 Or 970.493.8868 A copy of our insurance will be mailed separately from American Family Insurance as well as from Pinnacol Assurance. Please keep an eye out for it and let us know if you need anything else. Thank you.