The URL can be used to link to this page

Home My WebLink AboutCENTRAL STATES ROOFING - INSURANCE CERTIFICATE (3)PRODUCER PINNACOL ASSURANCE 7501 E Lowry Blvd Denver, CO 80230-7005 INSURED CENTRAL STATES ROOFING INC 5925 OMAHA BLVD COLORADO SPRINGS, CO 80915 COVERAGES CERTIFICATE OF LIABILITY INSURANCE DAII Hv M/DDYYYY) 03M712009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY I 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 NAIC# I 4SHRE RA PINNACOL ASSURANCE 41190 INSURER B INSURI R C INSURER _... _. 1 _........ _.. INSURCR E. j 1'I4E POLICII_8 Of INSURANCE LISTED BI-I OW I IAVI BEEN ISSUED TO TI If INSURED NAMED ABOVE_ I OR I I IE POLICY PERIOD INDICATED. NO IWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION 0t= ANY CONTRACT OR OTHER DOCUMMENT WITH RESPECT"10 WHICH 'IBIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TI iE INSURANCE AFFORDED BY I HE POI. ICIES DESCRIBED HEREIN IS SUBJECT TO ALL I I IL I I RMS, I XCLUSIONS AND CONDIT IONS OF SUCH POLICIES. LIMITS SI TOWN MAY HAVE BEEN REDUCI_1) 13Y PAID CLAIMS. NOR I AODL POLICYOFECTIVE 1I POLICY FXPIRN ION POLICY NUMBER GENERAL LIA61111Y COMMERCIAL GENERAL LIABILITY CLAIMS MAOF OCCUR GEN L AGGREGATE LIMIT APPLIERS PER _] POLICY � J PROJECTI I LOU TOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS FnRED AUTOS NON OWNED AUTOS RAGE I IABILIIY ANY AUTO OCCUR I I CLAIMSMADE RETENTION $ WORKERS COMPENSATION AND A EMPLOYER'S LIABILITY ANY PROPRETOWPARTNERJIXECUTIVE 4090465 OFFICER/MEMBER EXCLUDED' IIYe RIW,ede ,(bemtletSPECIAL PROVISIONS NOW, 04JO112009 1 04/01/2010 DAMAGE TO RENTED PREMISES RED E%P(A yanepc.LMn) PERSONAL A ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG COMBINED SINGLE LIM IT (Ea nccaem) BODILY INJURY BODILY INJURY (Peracnd-J) PROPERTYOAMAGE (Pee.-JI-I) AUTOONIY LAACCIDENT CHHERTHAN EAA AU10 ONLY _... _A nCHOCCURRENCI AGGREGATE Y WC STATU OTHER I TORY LIMITS E.L EACH ACCIDEM' EL DISEASE EA EMPLOYEE DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ROOFING PROJECT AT EPIC AND SENIOR CENTERBID# 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. TI if EXPIRATION DATE THEREOF, I'HE ISSUING COMPANY WILL ENDEAVOR TO PURCHASING DIVISION MAIL 30 DAYS WRITTEN NOTICE TO TIIF CERTIFICATE HOLDER NAMED TO TI 1E 215 NORTH MASON STREET SECOND FLOOR LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P.O. BOX 580 LIABILITY OF ANY KIND UPON I'HE COMPANY, ITS AGENTS OR FORT COLLINS CO 80522 _ REPRESENTATIVES AUTHORIZED REPRESENTATIVE Michelle Madrid-Kneebone Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS AND ALLER, LINGLE ARCHITECTS P.C. PURCHASING DIVISION 215 NORTH MASON STREET SECOND FLOOR 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 afforded by the policies listed thereon.