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HomeMy WebLinkAboutATLAS ROOFING - INSURANCE CERTIFICATEPRODUCER PINNACOL ASSURANCE 7501 E Lowry Blvd Denver, CO 80230-7006 CERTIFICATE OF LIABILITY INSURANCE DATE(MMI01Re,-2@009 Y( D09 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 BELOW. INSURERS AFFORDING COVERAGE NAIL# INSURED INIUIRERA PINNACOL ASSURANCE 41190 ATLAS ROOFING & CONSTRUCTION COMPANY DBA ATLAS ROOFING INSURERB SYSTEMS - - - INSURER ABA ATLAS ROOFING SYSTEMS I 0 -, INSURER 2220 5UNSTONE DRIVE I INsuRERe FORT COLLINS, CO 80525 _ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT. TERM OR CONDI rION OF ANY CONTRACT OR OTHER DOCUMMENT W TTH RFSPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC I TO ALL THE TERMS. EXCLUSIONS AN: CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD POL ICY EFFECTIVE P0-ICYEXPIRWHON LrR INSRD _ TYPE OF INSURANCE POLICYNUMOER _ DATE(MMIDDIVWY) DATE(MMIDO11YYI _ LIMITS - GENERAL LIABILITY I � EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GENIC AGGREGATE LIMITAPPLIERS PER POLICY _1 PROJECT_LOS AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS y _ GARAGE UABEITY ANY AUTO TEXCERBNMBRELIALIABII-ITY �l OCCUR I CYAIMSMADE DEDUCTIBLE .� RETENTION f A EWORKERS COLPENBATION AND MPLOYER'S UABIUTY MY PROPRIETOWPARTNEWEXECLRIVE OFFICER/MEMBER EXCLUDED' PROVIS It yee.pleaee tleanteuntlerSPECIAL IONS Ee1Pw �THER DAMAGE TO RENTED PREMISES MED EXP(Any un-AAR—) PERSONAL BADV INJURY GENERAL AGGREGATE PRODUCTS-COMPIOP AGO COMBINED SINGLE LIMIT (Ea AvclCantl BODILY INJURY (Pel person) — - --t BODILY INJURY ' (Pn ap]tlMl PROPERTY DAMAGE (Per ecntivnl AUTO DNLY-EAACCIDENT OTHERTHAN EAACC. AUTO ONLY AGO EACMOCCURRENCE AGGREGATE 4— WCSTATW OTHER 2179050 07/01/2008 ...0"2009 TDRv uurts E.L EACH ACCIDENT $1DO.000 E.L DISEASE - EA EMPLOYEE $100.000 EL 01SEASE-POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION _ 1129955 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fl. Collins THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO PO Box 580 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Ft. Collins CO 80521 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE LACORD 25(2001108) Charles Doggett Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY City Of Ft. Collins PO Box 580 Ft. Collins CO 80521 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.