HomeMy WebLinkAboutBOB BEHRENDS ROOFING K AND B GUTTERS - INSURANCE CERTIFICATE (2)AcoRD : CERTIFICATE OF LIABILITY INSURANCE, OP ID P DATE(MM/DDIYYYY)
BOBBE-1 06 05 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 222'6 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 INSURERA: Ironshore Specialty Insurance.. 25445
Bob"Behrefids Roofing LLC K&B INSURERS: National Union Fire Insurance,,, 19445
Gutters„ LLC, Bob Befirends INSURERC: PinnaCOl Assurance 4119.0
_Itoofin"" - Commercial Division, 19682
614 5 h 'Av. INSURER D' Hartford Fire Insurance ,6'. '
Greeley•,,,CO, 80631
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
DATEYM//EFFECTIVE)
PDATE(EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PRA MISEs(Eaoccurence)
$ 50,000
A
X COMMERCIAL GENERAL LIABILITY
016GPO905001
05/18/09
05/18/10
MED EXP (Any one person)
$ EXCL
CLAIMS MADE X❑ OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
X XCU Included
X
Blkt Add11 insd
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2 , 0 0 0 , 0 0 0
POLICY X PRO LOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
:-
COMBINED SINGLE LIMIT -
(Ea accident)
$
ALL OWNED AUTOS •-, T
t
'SCHEDULED AUTOS'
71.
BODILY.INJURY-
(Per person)
BODILY INJURY
(Per accident)
$
-.
HIRED AUTOS- } .
NON -OWNED AUTOS '
PROPERTY DAMAGE
(Per accident)
$ `
'
-
GARAGE LIABILITY J .
AUTO ONLY,- EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: • .
- AGG
$
...:.
ANY AUTO
'` -' _...
... ..:.. ..... rl ..
.. .... °
-
$:,
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 5, 0 0 0, 0 0 0 ,._
B
-
X ,OCCUR CLAIMS
BE0364.62595 `
05/18/09
05/18/10
AGGREGATE
$ 5,000,000
DEDUCTIBLE
$
X RETENTION $ O
WORKERS COMPENSATION AND _
-
- - -
-
X' TORY LIMITS ER
- -
C
-EMPLOYERS` LIABILITY- - _
ANY PROPRIETOR/PARTNER/EXECUTIVEC.
OFFICER/MEMBER EXCLUDED?
4087087
11/01/08
11/01/09
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 500,000
OTHER
D
Equipment Floater
34MSN00060
11/01/08
11/01/09
Rented Eq 100,000
DESCRIPTION OF OPERATIONS / 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
t�73�17r3�iT.i➢nA!Gal0aldr Na\.IM7��a��U1P
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
P.O. Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO'180522
REPRESENTATIVES.
AUTH 1 ED REPRESENTATIVE ,
ACORD 25 (2001108) v AUUMv t1ul1rum/A I Ivry l yoo