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HomeMy WebLinkAbout357221 PARTNERS ROOFING LLC - INSURANCE CERTIFICATE (2)11/10/2011 9:32 AM FROM: JOB TO: 2216775 PAGE: 002 OF 002 11mi CERTIFICATE OF LIABILITY INSURANCE L� l (M1 20YYY0 11/1o/zo11 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 certlficate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements . PRODUCER COR NAME JOHN C. BECKETT 6 ASSOCIATES, INC. PHONE..,E6(970) 484-2805 1: (A Nal: (979) AeA-xaes I6C, C, 220 .Smith .StreetE ADDRESS:OOR tim@beckettins=r ce.com PRODUCER Partners Roofing, LLC CVSTOM1ER R a. g, Ft. Collins CO 80524- INSURER(S) AFFORDING COVERAGE EPIC INSURED INSURER A ATLANTIC CASUALTY INS CO Partners Roofing, LLC INSURER B 228 Lincoln Court Unit B INSURER C INSURER 0 Larimer INSURER E Fort Collins CO 80524- INSURER F COVERAGES CERTIFICATE NUMRER- REVISION NIIMRER- 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, NSR L ADDTPE 5 POIIDY EFF POYCY EMP LTR OF INSURANCE MSft MYO POLICY NUM3ER (NRATaOTYY(I M1NGO.YT UNITS A GENERAL LASKItt Osi112-1 11/09/2011 1/09/2012 EACH OCCURRENCE ; 1,000,000 X COMMERCIAL GENERAL LIABILITY / / / / PR MISES Ea oauDoncO $ 100, 000 CWIMSJdADE LOCCUR / / / / MEDE (.Any one person) $ 5,000 PERSONAL 3 ACV INCRY i 1,000,000 GENERAL AGGFi.E ; 2, 000, DOD GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s 2,000,000 / / / / X POLICY PRQ 1 / / / / NOi i AUTONNISAE LIA9AnY so COVERAGE / / / / COMBINED SINGLE LMIT agars) &BODILY i PLY ALTO / / / / INJURY(Per :EUCH 3 ALL OVYNED AUTOS / / / / BODILY INJURY (Per amid on s SCHEDULED AUTOS PROPERTY DAMAGE $ HIREDAUTOS / / / / (Per acadent) NON-ONNEDLMTOS U09REUA LµS OCCUR 0 COVERAGE / / / / EACH OCCURRENCE E EXCESS UAB CLAIMB#1PDE / / / / AGGREGATE 3 DEDUCTIBLE RETENTION $ / / / / S WORHERe COMPENSATN)N 0 COVERAGE / / / / Y�C STATU-AND EMPLOYERS' UJ ILRY YIN E L. EACH ACCIDENT j Alry PROPRIETORPARTNERE%ECU➢YE / / / / OFFICER.m EMBER ENCWOED9 ❑ N/A / / / / (Mandator, In NH) E.L. DISEASE - EA Ei i U,es, desmb- uWer / / / / DESCRIPTION OF OPERATIONS DeIOw EL DISEASE - POLIC'f LIMIT Is 0 COVERAGE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES µCxM1 ACORD IM, AOM1tlwol Rai adieni r mom I IF mmaii ( ) - (970) 221-6775 DELYNN COLDIRON CITY OF FORT COLLINS ACCOUNTING DEPARTMENT PO BOX 580 FORT COLLINS CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORREO REPRESENTATIVE ACORD 25 (2009109) © 1988-2009 ACORD CORPORATION. All d Fri(2UUJU9) 1110 nX. i ua0le a1IU IDyO ale IeyIbNdUaU INdINs 01 NUUMU