HomeMy WebLinkAboutACC ROOFING - INSURANCE CERTIFICATE (8)ACOR
CERTIFICATE OF LIABILITY INSURANCE
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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.
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UMITS
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4081645
06/01/2008
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TORY UMITS
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ELEACHACCIDEIJT
51,000.000
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.$1,000.000
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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.