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Home My WebLink About399198 FRONT RANGE ROOFING SYSTEMS - INSURANCE CERTIFICATE (7)Client#: 19172 FRROO ACORDr., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DMYYY) 04/12/2013 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. Box Greeley, CO 80632 970 356-0123 I g CONTACT Debra Morris NAME: vOE:DAIC, No : 970 506-6836 506-3211 M70 Orris@FloodPeterson.com CUSTOMER IDa: INSURER(S) AFFORDING COVERAGE NAIC a INSURED Front Range Roofing Systems LLC 222 13th Ave INSURER A: Continental Western Group INSURER B: Pinnacol Assurance Greeley, CO 80631-2272 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. L TYPE OF INSURANCE POLICY NUMBER MWOMYF MINDDD/YXYYY LIMITS A GENERAL LIABILfrY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR X PD Ded:5,000 CWP256424632 5/01/2013 05/01/2014 EACH OCCURRENCE $1000000 DAMAGE TO RffRTMT— PREMISES E. emurmree $100000 MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY LIMIT APjPL�I EIB PER: X ,ECTPRO LOC PRODUCTS - COMP/OP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS CWP256424632 5/01/2013 05/01/2014 COMBINED SINGLE LIMIT (Ea accident) $1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ X X $ $ A X UMBRELLA LIAR X EXCESS LIAB GCCUR CLAIMS -MADE CU2573577 5/01/201305/01/201 EACH OCCURRENCE $5000000 AGGREGATE $5 000 000 DEDUCTIBLE - - RETENTION s $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNR,E CUTIVEY� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, downbe under DESCRIPTION OF OPERATIONS Wow NIA 1946560 1946560 6/01/2012 6/01/2013 06/01/201 06/01/2014 X we STATU- OTH- E.L. EACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L DISEASE -POLICY LIMIT S1 000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, d more apace is re9ulmd) City of Fort Collins P O 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. (91988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S777590/M777528 DSM