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Home My WebLink About399198 FRONT RANGE ROOFING SYSTEMS LLC - INSURANCE CERTIFICATEClient#: 19172 FRROO ACORDTa CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYYY) 4/27/2012 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 Flood & Peterson Ins., Inc. P. ee0. Box COPROl Greeley, O 80632 970 356-0123 CONTA T NAME: Debra Morris PHONE 970 506-3211 EAX 970 506-6836 A/C Na Ext : q/C, No UCE debra.morris@floodandpeterson.com PRODUCER CUSTOMERID#: INSURERS) AFFORDING COVERAGE NAICN INSURED .^ ^ Q Front Range Roofing Systems LLC L/ ylI ( 11 222 13th Ave INSURER A: Continental Western Group INSURER B: Pinnacol Assurance INSURER C: Greeley, CO 80631.2272 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: RRVIS!ON 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. INSR LTRN TYPE OFINSURANCE DOL UBP POLICY NUMBER POLICY EFF MM/DD/YYVV POLICY EXP MM/DD/YYYV LIMITS A GENERAL LIABILITY CWP2564246 5/01/2012 05/0112012 EACHOGGURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1i OCCUR DAMAGERENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 X PD Ded$5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 1-1 POLICY X PRO- LOC $ A AUTOMOBILE X LIABILITY ANY AUTO CWP2564246 5/01/2012 05/01/2013 COMBINED SINGLE LIMIT (Ea accaard $1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS X PROPERTY DAMAGE (Per accident) $ HIRED AUTOS X $ NON -OWNED AUTOS $ A X UMBRELLA 'AB X OCCUR CU2573577 5/01/2012 05/01/201 EACH OCCURRENCE s5,000,000 EXCESS IA CLAIMS-MADE AGGREGATE $5000,000 DEDUCTIBLE RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICENMEMBER EXCLUDED? ❑ (Mandatory in NH) It yes, describe under N/A 1946560 6/01/2011 6/01/2012 06/01/201 06/01/201 X wcsTATu- OTH- IER EL-EAOHACCIDENT $1,000,000 EL.DISEASE - EA EMPLOYEE $1,000,000 EL DISEASE -POLICY LIMIT I $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) City of Fort Collins P 0 Box 580 Fort Collins, CO 80522 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 (91988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD @R699nmuipigd AnS