HomeMy WebLinkAboutCENTRAL STATES ROOFING - INSURANCE CERTIFICATE (2)ACOR
D'° CERTIFICATE OF LIABILITY INSURANCE DATE ,I,^'°"°D YYY,
01/17/2009
PRODUCT IZ _-_ -.._.- _.. ....... _. _. _.. _..... -__._ _... ......
PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd j AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
I INSURERS AFFORDING COVERAGE NAIC#
INsuwl D - - INSURFRA PINNACOL ASSURANCE 41190
CENTRAL STATES ROOFING INC INsuRERe
5925 OMAHA BLVD -
COLORADO SPRINGS, CO 80915 NSURERC
! INSURIoRD.
1 _...... __.... ........ _ _. .__.. -
INSURER E. I
COVERAGES -...---_. _.... _-_.......
IH4t POLICIES OF INSURANCE 1_1811 D BELOW i LAVE BEEN ISSUED TO THE INSURED NAM[ 1) A130VE FOR I HE POLICY PI ROD INDICAILD. NOTWI IHSTANDNG -
ANY REQUIREMENT, 'TERM OR CONDIT ION OF ANY CONTRACT OR OTHER DOCUMMENT WI (H RESPECT 10 WHICH THIS CE RI IFICATE MAY 13E ISSUED OR
MAY PERIAIN, THE INSURANCE ALL UPPED BY THi, POLICIES DESCRIBED HERI-IN IS SUBJEOI 10 ALL THE I FIRMS, EXCLUSIONS AND CONDII IONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
+ -- ---- - - I POLICY EFFECtIVI POLICY E%PIIEAIION -- "- ---
N R ADD(
I YPE OF INSURANCE
RALIIABIIIIV -
'91dERCIN. GENERALLIAB1111Y
CLAWSMADOCCUR
GE I. AGGREGATE LIMIT APPLIERS PER:
I- POLICY L j PROJLCTI LOC.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
FIRED AUTOS
NON OWNED AUTOS
GARAGE ]LABILITY
ANY AUTO
OCCUR I I CLAIMS MADE
fDEDUCTIBLE
.RETENTION $
WORKERS COMPENSATION AND
A EMPLOYER'S LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE
01-1 CERIMEMBER EXCWDE(O
U 1.,Rlea1.d.ne1i untlei SPECIAL PROVISIONS Below
4090455
DATEIMI/IDD/YYYY). DATE(MMIDUNYW)
EACH OCCUMA NCI
DAIIAGB TO LOT N I I -
PREMISES
MED E%P(Ay .,neon
PERSONAL S AUG INJURY
IGLNLRnL nGGREGATE.
PRODUCTS COMPIOP AGG
COMBINED SINGLE LIMIT
BODILY INJURY
(Par Person)
BODILY INJURY
IROPI RTY DAMAGE
(Per accident)
-- AUTOONIV LAACCIDENT
�OT14ER THAN "EAA
(AUTO ONLY P
EACH OCCURRI USE
AGGREGATE
WCSTATU (OTHER
04/01/2009 04/01/2010 TORY LIMITS
GL EACHACCIOENT
E L DISEASE"EAEIAN OYEE
EL DISEASE- POLICY[
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ROOFING PROJECT AT EPIC AND SENIOR CENHERRED# 6126
CERTIFICATE HOLDER
CANCELLATION
_ _
1140851
_ -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF FORT COLLINS AND ALLER, LINGLE ARCHITECTS P.C.
THE EXPIRATION DATE I I-IEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
PURCHASING DIVISION
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
215 NORTH MASON STREET SECOND FLOOR
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 0131_IGATION OR
P.O. BOX 580
LIABII I EY OF ANY KIND UPON THE COMPANY ITS AGENTS OR
FORT COLLINS CO 80522
REPRESENTATIVES.
Michelle Madrid-Kneebone
Underwriter ABORT) CORPORATION 1988