HomeMy WebLinkAboutBOB BEHRENDS ROOFING - INSURANCE CERTIFICATEAcoR_Q,. CERTIFICATE OF LIABILITY INSURANCE OP ID G DATE(MMIDD/YYYY)
HOBHE-1 10 29 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, Sth Floor HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC#
Bob Behrends Roofing LLC K&E
Gutters, LLC, Bob Be{lrgnds
Roofing - Commercial Division,
614 5th Av.
Greeley CO 80631
rnl/COAncc
INSURER A'. _onitea specialty Smurance Co. 12537
INSURER Ret10 1 Vvion Pi xve ravice 19445
INSURER D_—_ x_a_rt_tor_a It.. meurance
INSURER E.
411
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.
INuD•-------- ---------_—__-----
LTR NSR TYPE OF INSURANCE POLICY NUMBER
PbTICYEFFECTiVE- 0-CTCPEAPIRATIdf7 .—___—____....—__..
DATE MM/DDIYY DATE MMIDDIYY LIMITS
_— ____ ----
GENERAL
LIABILITY
A
EACH OCCURRENCE
-DAUTAGETORENTEG"—__
$ 1000000
-'
X
COMMERCIAL GENERAL LIABILITY
IRHOOJDC0805001
05/18/08
05/18/09
PREMISES
—"'-'---'-------------
—.
CLAIMS MADE LX I OCCUR
(Eaoccurence) ...
$ 50000
-_..___._.__...___.__..._.
MED EXP (Any one person)
$ EXCL
_
PERSONAL BADVINJURY
$ 1000000
-
----------
"--
----------
GENERAL AGGREGATE
$ 2000QOQ
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMPIOP AGG
$ 2000000
_—.
PRO-
POLICY X JECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
--'—'--''—
$
ALL OWNED AUTOS
BODILY INJURY
(Per person)
--------
$
SCHEDULEDAUTOS
_
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accidenU
$
PROPERTY DAMAGE
$
(Per accitlenU
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANYAUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGO
$
EXCESS/UMBRELLA LIABILITY
B X OCCUR CLAIMS MADE BE1339466
��
EACH OCCURRENCE
$ 5, 000, 000
---
-.�
OS/18/OS OS/18/09 AGGREGATE
$ 5, 000, 000
DEDUCTIBLE
—"'-------
$--------.
X RETENTION $ Q
—'—'-----
--------.--.
WORKERS COMPENSATION AND
C EMPLOYERS' LIABILITY
-
_X1. TORY LIMITS_ ER-
ANYPROPRIETOR/PARTNER/EXECUTIVE 4OH7OB7
-
11/01/08 11/01/09 E. L EACH ACCIDENT
$500,000
OFFICER/MEMBER EXCLUDED?
If year describe under
E.L. DISEASE � EA EMPLOYEE
$ 500 , 000
SPECIAL PROVISIONS below
below--------
- _ _ -------
OTHER
E.L.OISEASE- POLICY LIMIT
$ SQQ, QQQ
D Equipment Floater 34MSN00060
11/01/08 11/01/09 Rented Eq
100,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
,....__..._._..
FORTCOL I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO1
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City Of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES.
ACORD 25