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Home My WebLink About262877 RTN ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (2)OP ID: KE A`oRo CERTIFICATE OF LIABILITY INSURANCE 1 DAM 05% 2112 DD1YYYY) 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 970.223.1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 CONTACT PHONE FA% AIC No Ert: A/C No: Fort Collins, CO 80525 Steven G. Smith EMAIL ADDRESS: PRODUCER ROOFT-1 CUSTOMER ID N: INSURE S AFFORDING COVERAGE NAIC0 INSURED RTN Roofing Systems, LLC �, & INSURER A:SBCUra Insurance Companies 22543 1 5854 Lockheed Ave. Loveland, CO 80538 INSURER e:CNA Insurance Companies 02186 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMIDDVIYYYY MMIDDYIYYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XOCCUR X 5084284015 - 05/01112 05/01/13 EACH OCCURRENCE $ 1,000,00 PREMISES Ea rrence S 100,00 MEDEXP(Anyone person) S 5,00 PERSONAL AADV INJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN1 AGGREGATE LIMIT APPLIES PER X POLICY 7 PRO- LOC PRODUCTS - COMP/OP AGG S 2,000,00 8 A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTO$ NON -OWNED AUTOS A3149640 OSI01H2 OS101/13BODILY COMBINED SINGLE LIMIT (Ea accident) E 1,000,00 INJURY(Per person) S BODILY INJURY(Per acddem) S JX PROPERTY DAMAGE (Per amdent) $ $ E B X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 4030407376 05I01112 05101113 EACH OCCURRENCE $ 1,000,00 AGGREGATE S 1,000,00 RETENTION S 10,000 E XdDEDUCTIBLE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, deudbe under DESCRIPTION OF OPERATIONS be. NIA Wn STATU- TH- VLIMIT PER E.L. EACH ACCIDENT $ E.L DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ B Inland Marine 5084284015 0,1101112 05101113 Inst Fltr 25,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AHach ACORD 101, Additloml Remarks Schedule, H more apace Is required) City of Fort Collins is named as additional insured as required by.Trritten contract. CITYF-1 City of Fort Collins Purchasing Division 215 N. Mason St 2nd Floor P.O. Box 580 Ft. 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. AUTHORIZED REPRESENTATIVE iaRR-inno Arnan rnaanIDATlnid All ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD