HomeMy WebLinkAboutD&D ROOFING INC - INSURANCE CERTIFICATE (6)pp),xx,:Mut
ID/02/2013
A✓ H CERTIFICATE OF LIABILITY INSURANCE DATE02/2I13
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
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BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
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IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. N SUBROGATION IS WAIVED, subject to
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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 1-303-534-4567
CONTACT
N
INA, Inc. - Colorado Division
NAME:
PHONE FAX
INC, No, EA: INC, No):
1550 17th Street
E-MAIL en macor
ADDRESS: dPastarp•com
44z11
Suite 600
Denver, CO 80202
INSURERISI AFFORDING COVERAGE NAICIT
INSURER A'. CONTINENTAL WESTERN INS CO 10804
INSURED
INSURER B',
D 6 D Roofing Inc.
INSURER C
6270 E. 50th Ave.
INSURER D:
Commerce City, CO 80022
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 3619500E 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.
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ILTR'
LTR TYPE OF INSURANCE INVO POLICY NUMBER MMIDD/YYYY NLIMITS
A
GENERAL LIABILITY
CPA2563467
10MIDDIYYYY
10/O1/13 /OII14 EACHOCCURRENCE $ 1,000,000
Y'DAMAGE
TO RENTED
300, 000
I COMMERLIAL GENERAILIABILITY
o
PREMISES(EaUrrem:e) $
CLAIMSMADE I X I OCCUR
MED EXP(Any one person) $ 10,000
PERSONAL a ADV INJURY $ 1,000,000
li GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER'.
' PRODUCTS COMPIOPAGG S2,000,000
X PRO-', I
.. $
POLICY LOC
A
AUTOMOBILE LIABILnY
'ICPA2563467
1/1 COMBINED SINGLE LIMIT
(Ea acelden0 $ 1, 000, 000
Y ANY AUTO
BODILY INJURY(P. Person) $
ALL OWNED SCHEDULED
BODILY INJURY (Per amiden0 $
AUTOS
NON-0WNED
Y Y
PROPERTY DAMAGE $
HIRED AUTOS AUTOS
(Per.rCNen)
$
A Y
UMBRELLALIAB Y OCCUR
ICPA2563467
10/01/13
10/01/141
EACH OCCURRENCE $ 1,000,000
EXCESS LIAR _ CIAIMS-MADE
AGGREGATE s 1,000,000
DED X RETENTION$ 0
$
WORKERS COMPENSATION
WC STATU- 'OTH
AND EMPLOYERS' LIABILITY YIN
TORY LIMITS ER
ANY PROPRIETORIPARTNERIEXECUTIVE
�'! E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? ❑
MIA
(Mandatory le MR)
E.L. DISEASE -EA EMPLOYEE $
If yes, desmhe uMer
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ABaRh ACORD 101. A4dmanal Remade Schad.[., It more apaw b nq.1rW)
City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract
or agreement and with respect to work performed by Insured subject to the policy terms and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
North Mason Street, AUTHORIZED REPRESENTATIVE //,^({7
Collins, CO 80522 #
USA [ Z
O IVUU-ZUIU AUUKU UUKPUKAIIUN. All rlgn[S reserveU.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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36195008