HomeMy WebLinkAboutROOF TEC NATIONAL INC - INSURANCE CERTIFICATEA ORD CERTIFICATE OF LIABILITY INSURANCE OP ID KF
TDATE (MMIDDIYYYY)
ROOFT-1
05 08 09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
1100 Haxton Drive Suite 100
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone : 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Continental western
INSURER B: Pinnacol Assurance
Roof-Tec National Inc.
DBA RTN Roofing Systems
5854 Lockheed Ave.
Loveland CO 80538
INSURER C: $eCura Insurance Companies
INSURERD:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE POLICYEFFECTIVE
DATE MM%DDIYYION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X
X COMMERCIAL GENERAL LIABILITY
CWP268042424
05/01/09
05/01/10
PREMISES(Eaoccurence
$50,000
CLAIMS MADE. FX] OCCUR
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
X POLICY PROJECT Ll LOC
C
AUTOMOBILE
X
LIABILITY
ANY AUTO
A3149640
05/01/09
05/01/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
, r
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
C
C
X
X
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
]DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4054406
04/01/09
04/01/10
TORY LIMITS I I ER
E.L. EACH ACCIDENT
$ 500 000
E.L. DISEASE - EA EMPLOYEE
$ 500 , 000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 500 , OOO
OTHER
A
Commercial Applica
CWP268042424
05/01/09
05/01/10
A
Property Section
CWP268042424
05/01/09
05/01/10
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The below listed certificate holder is named as additional insured.
CERTIFICATE HOLDER CANCELLATION
CITYF-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ft . Collins P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ft. Collins CO 80522-0580 REPRESENTATIVES.
C� c�
ACORD 25 (2001/081 nACORD CORPORATION 1AAR