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HomeMy WebLinkAboutD&D ROOFING INC - INSURANCE CERTIFICATE (4)YStW xittlU,t 4 ''CIORa CERTIFICATE OF LIABILITY INSURANCE r D10/06/ao11/DDIo/D6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT INA of Colorado, Inc. NAME:_____ PHONE FAX fAIC, No. E.T:...... 1550 17th Street EMAIL ADDRESS Suite 600 Denver, CO 80202 M ^^ INSURER(S) AFFORDING COVERAGE _ NAIC0 ___ INSU_RERA:_CONTINENTAL WESTERN INS CO 1080& INSURED INSURERB: AMERICAN GUAR & LIM INS (Zurich 26247 D & D Roofing Inc. -- ------- INSURER C_: 6270 E. 50th Ave. INSURERD— _------------_—� ------_— Commerce City, CO 80022 INSURER E:_ COVFRAGFS CFRTIFlr..ATF NIIMRFR• 23517399 RFVlglnN NIINRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS. ILTa NSRI ,ADOLiSUBRI -POLICY EFFrPAID TYPE OF INSURANCE POLICY NUMBER I Ma)Or/YYY NY ODIYYYY)I LIMITS A GENERAL LIABILITY CWP256346729 10/01/11 10/01/12 EACH OCCURRENCE f 1,000,000 X CO_MMERCIALGENERALLIABILITY _ -I __ DAMAGE TO RENTED _PREMISES(Eaoaurrww)__ 300, 000 $ _ ICLAIMS MADE ix OCCUR MED_EXPIM_ymepersanl__ S 10,000 X PD: $10,000 PERSONAL& ADV INJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG GEN'L AGGREGATE LIMIT APPLIES PER: 52, 000, 000 X PRO 17 POLICY LOC S A AUTOMOBILE _ LIABILITY CWP256346729 COMBINED SINGLE LIMIT (LaaaideP)_ - _ — j 11000,000__ $ X ANY AUTO BODILY INJURY (Per person) _ ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY (Per accam0 f X NON OWNED X NA ON _ _ _ PROPERTY OHMAGE - - - HIRED AUTOS (Per_ accrien0_____-_-_ B X UMBRELLA MAB J X OCCUR AUCS96949101 10/01/1 10/01/12 EACHOCCURRENOE S 410_0_0,000 _ AGGREGATE S 4,000,000 EXCESS LIAR CLAIMG--MADE —XI DID RETENTIONS 0 S SATION ANOREMPLOYERS EXSIOL1IABaRY YIN --- I TNC ORY IMR51IoER. ANY PROPMETORNARTNERIEXECUTIVE E L. EACH ACCIDENT $ OFFICERR&EMBER EXCLUDED? ❑ NIA ----- -- _ (MyyasasMsabrylnNH) EL DISEASE - EA EMPLOYEES IOPERATIONS DESCRI�ON Offie ix, w EL DISEASEPOLICYLIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Hunch ACORD 101, AdemonM Rseurim ScaMUY, 11 mom Waw is raquimd) IRS : All Operations of the Named Insured. City of Port Collins is included as Additional Insured. oa the General and Automobile Liability coverage if required by written contract or Agreement and with respect to work performed by Insured subject to the policy terms and conditions. . A Waiver of Subrogation is provided in favor of The City of Port Collins on Lhe General and Automobile Liability coverages if required by written contract Or agreement and with respect to work Performed by Insured subject to the policy terms and conditions. This Insurance is Primary and Non -Contributory on the General Liability Policy subject to the policy terms and conditions SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ann Chmtler 281 North College Ave PO Box 580 AUTHORIZED REPRESENTATIVE /J Port Collins, CO 80522-0000 USA (a iQAR_On1n ACrSRn rnI*Dn0ATInU All .i„Me .nenmuR ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD mtasha 23517399 L: P511IM11NMIt M CERTIFICATE OF LIABILITY INSURANCE D10/06 R2011 YI " A� 10/O6/a011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endo iement(s). PRODUCER 1-303-534-4567 CONTACT LQL of Colorado, Inc. NAME: ___—._ PRONE FAX INC, NoI:_—_—._______. 1550 17th Street EJAAIL ADDRESS: Suits 600 .. Denver, CO 00202 ____ __ _ . INSURERIS) AFFORDING COVERAGE _ _ _ NACE INSURER A: CONTINSNT. L NRSTBRN INS CO 1OB04 INSURED AH MSURERB: ERICAN AR GU6 LIM INS (Zurich 26247 D S D Roofing Inc. — INSURER C 6270 B. 50th Ave. INSURER D: Commerce City, CO 00022 INSURER E: INSURER F: COVFRAr9FS CFRTIFICATF NUMRFR- 23516491 REVISION NUMBER - THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRi _--_— TY_PE OFIAODUSUBR!----_______. I POLICYEFF IIPOUCYE)YY LIMITS LTR, INSURANCE I POLICY NUMBER MYID A GENER.LLLU18arrY CWP256346729 10/01/11 10/01/12 EACH OCCURRENCE f 1 000, 000 '_ E _I COMMERCIALGENERALLIABRITY _I ICWMSMAOE L�OCWR DAMAGE TO RENTE D PREMISES IEa oaunrnu)_ 4ED EXP IMy as persanl_ S _300, 000 10,000 S 1,000,000 Y PD: $10, 000 _--__ PERSONALS ADV INJURY_ GENEHALAGGREGIME_ _S 21000,000-- CENLAGGREGATEUMITAIRKIESPER: PRODUCTS-COMPIOPAGG f 2,000,000 CT 1POLICY E PROF LOC $ - A AUTOMpn.P LIABILITY CMP256346729 .ILaamaoCOMBINE0nlSINGLC UMIT 1 000 000 .$_- X ANY AUTO BODILY INJURY (Po r ) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(P. epb N S E HIRED AUTOS E OO�NED (Pd PPERTY1JAMAGE— S B Y E OCCUR AUC596949101 10/01/11 10/01/121 EACHOCCURRENCE S 11000,000 AGGREGAIE _ $1, 000, 000 �UMREL" EXCESS LIAR CWMSAMCE _ DED I E I RETENTIONS 0 $ WORK ERSCOMPENSATKIN AND EMPIFA OYS'l-MINUTY YIN _ _ TONY. LIMRS I._ Eft _ ANY PROPRIETOPARTNEVEXECUTIVE❑ EL EACH ACCIDENT f OFFICERMENBER EXCLUDED? NIA E I. DISEASE - EA EMPLOYE $ (MyyeeVSs , In NH) Ie DESCRIPTITIION OOPERATIONS We E.L.DISEASE POLICYLIMITIS DES MPTHINOFOPERIITR)NSILOLAnONSIVEHICLES (AWd,A60RD101,ACdI6cnYRVlvdnS I*.Rmony.c. b,".Rr ) 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 of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. North Hason Street, AUTHORIZED REPRESENTATIVE / /% CollinsI USA ((( r/�/�, CO 80522 / // .,/� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORO netasha 23516491