Loading...
HomeMy WebLinkAboutPROFESSIONAL ROOFING INC - INSURANCE CERTIFICATEPKUFt-5 UP IU: UK CERTIFICATE OF LIABILITY INSURANCE DAT04/17D/YYYY) 04/17/13 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 endorsements . PRODUCER 303-987-3331 Coiling Insurance Services Inc 303-987-2681 777 S. Wadsworth Blvd., #1.100INC.No Lakewood, CO 80226 Brad Coiling NAME: PHONE FAX Eat : AIC No EMAIL ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC p INSURER A: Colony Insurance Company INSURED Professional Roofing Inc. dba Professional Roofing & Exteriors INSURER B: INSURER C: 5790 Lamar Street INSURER D INSURER E: Arvada, CO 80002 NSURER F: COVERAGES . CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MMIDD/YYYY MMIDDYIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 05/01/13 05/31/13 A A T RENTED PREMISES Ea occurrence $ 100,00 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEHL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ 2,000,00 $ POLICY 7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Pe,..,dent $ NON -OWNED HIREDAUTOS AUTOS UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DELI RETENTION $ 1 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WCSTATUOTH- T RV MIT- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E1. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION CITFOR1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of Fort CollinsTHE City EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PROFE-6 OP ID: AP ,a` o�Ro° CERTIFICATE OF LIABILITY INSURANCE DATE 04/18//2 Y013 F 4N 83 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 The Wright Group, Inc. PC Phone: 303-863-7788 9 p' ( ) Fax: 303-861-7502 Property 8 Casualty Division 1873 S. Bellaire St., Ste. 600 Denver, CO 80222 CONTACT NAME: Anna Perko PHONE 303-228-2156 FAX AAIC No Eat:INC No: 303-861-7502 less: aperko@twgservices.com nooa Matthew Mark Hughes INSURER(S) AFFORDING COVERAGE NAIC N INSURERA: PINNACOL ASSURANCE INSURED Professional Roofing, Inc. 5790 Lamar Street INSURER B: Arvada, CO 80002 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. INSR LTR I TYPE OF INSURANCEPOLICY AODL SSKIU NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP IMM/DDfYfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY OAMA ETOTSENTED PREMISES JE. occurrence $ MED EXP(Any one person) $ CLAIMS -MADE F—IOCCUR PERSONAL $ ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREG7JL,1MIT APPLIES PER. PRODUCTS-COMP/OP AGO $ POLICY PRO LOC $ AUTOMOBILE LIABILITY BIINEeDtSINGLE LIMIT COMaccident) Ed $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS INON-OWNED AUTOS PROPERTYDAMAGE Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE OEO RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- A AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN EXCLUDED? ❑ N/A 4113360 04/01/2013 0410112014 I T RY LIM TER EACH ACCIDENT 500,000OFFICER/MEMBER E.L. DISEASE -EA EMPLOYEE $ SDD,B00 (Mandatory in NH) If yes, describe under E. L. DISEASE -POLICY LIMIT i $ 500.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 CITYFOR 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 e„ _ y:1_1 ACORD 25 (2010105) IV 1 V55.21J1t) ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD