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HomeMy WebLinkAboutD&D ROOFING INC - INSURANCE CERTIFICATE (5)ACC 6%1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD/Y9/23/2013 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: H 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 CONTACTRara Smith CISR, CRIS Moody Insurance Agency, Inc. 8055 East Tufts Avenue PHON o_eaF (303)824-6600. _. Not _(3m13To-ous AI E-MLESS . ksmithQmoodyins.com Suite 1000 INSURERS AFFORDING COVERAGE NAICS INSURER A:Pinnacol Assurance 41190 Denver CO 80237 INSURED INSURER B: D & D Roofing, Inc. INSURER C: INSURER O: 6270 East 50th Avenue INSURER E : Cornaterce City CO 80022 1 INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 Master 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 TYPE OF INSURANCE APPIL SUM POLICY NUMBER POLICY EFF Y POLICY EXP Y LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR EACH OCCURRENCE $ AMA GE TO RENTED PREMISES n $ MED EXP one arson $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEWL AGGREGATE 17 POLICY LIMIT APPLIES PER: PRO- El LOC PRODUCTS - COMP/OP AGO $ $ AUTOMOBILE LIABILMY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED COMBINED INGL LIMIT accident) BODILY INJURY (Per person) S BODILY INJURY Per weidem ( ) E POS ROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYFJIS' LIABILITY Y / N ANY PROPRIETOWPARTNERIEXECUTIVE� OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yas, tlasoribe antler DE SCRIPTIONOFOPERATIONSbelow NIA 048626 0/1/2013 0/1/301{ % A U- I OTH- FA E.L EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE -POLICY LIMIT S 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more epa" is requited) City of Fort Collins 215 North Mason Street 2nd Floor, PO 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 ACORD 25 (2010/05) Smith, CISR, CRIS/Bl'?/L�i� © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2oloo6) of The ACORD name and logo are registered marks of ACORD