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HomeMy WebLinkAboutBOB BEHRENDS ROOFING K AND B GUTTERS - INSURANCE CERTIFICATEACORo. CERTIFICATE OF LIABILITY INSURANCE OP ID G DATE(MMIDDIYYYY) BOBBE-1 05/18/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED I INSURERA Iro shore Specialty T aura ce 25445 Bob Behrends Roofing LLC K&B Gutters, LLC, Bob Bei'irends INSURERS National union F manranco 19445 Roofing - Commercial Division, INSURER Pinnacol Assurance _ _ 41190 _ 614 5th Av. Greeley CO 80631 INSURERD Hartford Fire maoranco Co. - 19682 j 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, INSR DO'lljj -- -- ___-- _--- --- POLICY EFFECTIVE (POLICY EXPIRATION' -- LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MMID..YY DATE MMIDDIYY i LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A IX COMMERCIAL GENERAL LIABILITY IRH00JDC0805 05/18/09 DAMAGE TO RENTED ( 05/18/10 PREMISES (Ea occurence) $ 50000 l]CLAIMS MADE I X l OCCUR VIED EXP (Anyone person) $ EXCL X jXCU Included PERSONAL&ADVINJURY_ $ 1000000 X Blkt Add' 1 insd GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2000000 I X j POLICY i JECOT LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS j BODILY INJURY SCHEDULED AUTOS j (Per person) $ j HIREDAUTOS � BODILY INJURY $ NON -OWNED AUTOS (Per accident) _ PROPERTY DAMAGE j (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ „I ANY AUTO OTHER THAN EA ACC $ _.._ AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE I $ 5,000,000 B X, OCCUR ICLAIMSMADE BE1339466 j 05/18/09 _ _ 05/18/10 AGGREGATE $5,000,000 $ DEDUCTIBLE ( $ X RETENTION $ O $ I WORKERS COMPENSATION AND IX STORY LIMITS ER j C I EMPLOYERS'LIABILITY j 4087087 j 11/Ol/08 11/01/09 E.L.ACH ACCIDENT I $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE-.- OFFICERrMEMBEREXCLUDED? E.L.DISEASE EA EMPLOYEE. I --- --' $ 500,.000 -' If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICYLIMIT $ 500,000 OTHER j D Equipment Floater 34MSN00060 I 11/01/08i 11/01/091 Rented Eq 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The certificate holder is an additional insured if required by written contr per Blanket Additional Insured. Waivers of Subrogation apply to Workers Compensation and General Liability CERTIFICATE HOLDER CANCELLATION FORTCOL 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 Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 Fort Collins CO 80522 REPRESENTATIVES, AUTHORIZED REPRESENTATIVE >��P� ACORD 25 (2001/08) 1©ACORD CORPORATION 1988