HomeMy WebLinkAboutD&D ROOFING INC - INSURANCE CERTIFICATE (2)F-
ACORQ CERTIFICATE OF LIABILITY INSURANCE
DATE 2/20 1
06/0/2011
PRODUCER 1-303-534-4567
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
INA of Colorado, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE .CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1550 17th Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 600
Denver, CO 80202
INSURERS AFFORDING COVERAGE
INSURED
D 6 D Roofing Inc.
INSURER A: Continental Western Insurance
INSURERS American Guarantee 6 Liab. (Zurich American Ins)
6270 E. 50th Ave.
INSURER C:
INSURER D:
Coerce City, CO 80022
NSURER E:
CTIVFRAC.FR
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION III
LIMITS
A
GENERAL LIABILITY
CWP256346728
10/01/10
10/01/11
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$300,000
% COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXPAn one person
$10,000
PERSONAL 4 ADV INJURY
$1,000,000
X PD: $10,000
GENERAL AGGREGATE
$ 2,000, 000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$2,000,000
POLICY X PRO LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CWP256346728
10/01/10
10/01/11
COMBINED SINGLE LIMIT
(Ea accident)
$1, 000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Peraccident)
$
HIREDAUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTH ER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
R
EXCESS
LIABILITY
AlIC596949100
10/01/10
10/01/11
EACH OCCURRENCE
$1,000,000
%
OCCUR CLAIMS MADE
AGGREGATE
$1,000,000
$
DEDUCTIBLE
X
$
RETENTION $0
WORKERS COMPENSATION AND
I WCRV STAU TH-
LIM T- OFIR
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE -POLICY LIMIT
$
OTHER
f
f
$
DESCRIPTION OF OPERATIONSILOCATIONSMEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract
or agreement and with respect to work performed by Insured subject to the policy terms and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 North Mason Street, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Fort Collins, CO 80522 AUTHORMED REPRESENTATIVE S
USA C/
ACORD 25S (71971 Jweir85 Gf ACORD CORPORATION 19R8
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