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HomeMy WebLinkAboutACC ROOFING - INSURANCE CERTIFICATE (8)ACOR CERTIFICATE OF LIABILITY INSURANCE DTE;"za°o'oa" 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, GO 80230-7OD6 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED A00 ROOFING INC INSURERA PINNACOL ASSURANCE 41190 INSURER B: 1713 E. LINCOLN AVE RVEVRER C: UNIT B3 nusuRER D: _ FORT COLLINS, GO 80524 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM EO ABOVE FOR THE POLICY PERIOD INOICATED. NOTWITHSTANONG 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. INBR A]C'L PCJCY EFFECTIVE POUCV E%PIRA➢ON LT INSRO TYPE OF IIJBURAiCE POLICY,VUA13cR C/QE{MW00%YYYI EATGtVWOoYVYYI UMITS OENERAL LIABILITY EACH OCCURRENCE 3.4AS9 TO RENTED cOMMERCAL GENERA. UABIUTY CWIAS hlADE 11 OCCUR PREIACES I.IEO EXPIAll one p11., PERSONAL eI AOV II�VJRY CENL AGGREGATE UM T APPUERS PER: OENERALAGOREOATE PRODUCTS- COMPOP AGO POUCY 11 PROJECTLCC AUTOMOBILE LIABILITY CWIEINEO SINGLE UMIT ANY AUTO {H A[tlEdtll SWILYINJURY ALL OVVNEO AUT02 SCHEDULEOAVTOS (Peroeeanl BODILY INJURY HIREOAUT03 IYOIeOWNED AUTOS IPae(tlGentl PROPERTY O.VAAOEE (Per a(<10<ntI OARAOE LIABILITY AUTOOIJLY-EA ACCICENT OTHER THA4 EAACC AVAVTO AUTO ONLY: AO E SCE38,UWRELLA LIABILITY EACH OCCURREN'C= AOOREOATE OCCUR CWIASMAOE DIE OUCTISLE RETENTION $ WORRERSCOhPENSATIONANC WC STATW Lj OTHER A EMPLOYER'S LIABILITY ANY PftOPRIEiORIPARiPBPoEXECVTIVE 4081645 06/01/2008 OLV0112009 TORY UMITS OFFlCERIME.aSER EXCLUDES? ELEACHACCIDEIJT 51,000.000 EALOSEASE- EA E61PWYEE .$1,000.000 It oleaee de5cdbe 4 Uf SPECIAL PROVISIONS 00I0w E.LOCEASE POUCYLIMrt Di000000 OTNER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1117153 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T PURCHASING DIVISION MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 215 NORTH MASON ST. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ''. P O BOX 580 FORT COLLINS CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001 /08) Charles Doggett Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY THE CITY OF FORT COLLINS PURCHASING DIVISION 215 NORTH MASON ST. P O 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 affordec by the policies listed thereon.