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Home My WebLink About124317 ADVANCED ROOFING TECHNOLOGIES LTD - INSURANCE CERTIFICATE (2)ACC>RbrCERTIFICATE OF LIABILITY INSURANCE 11%. `./ DATE (MMDDNYYY) 3/5/2014 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 CONTACT Charlene Navarra, ACSR, CRIS NAME: Moody Insurance Agency, Inc. PHONE . (303)824-6600 FAX .(303)370-0118 8055 East Tufts Avenue E-MAIL . cnavarrafamoodyins. com Suite 1000 INSURERS AFFORDING COVERAGE NAICS INSURERA:Clncinnati Specialty 3037 Denver CO 80237 INSURED I J,,2 INSURERB:C1nClnnatl IndemnityC an 3280 IZ( Advanced Roofing Technologies LTD. 1✓I`1 INSURERC:Natl Union Fire Ina Cc of Pitt 19445 INSURER 4496 Bents Drive Unit C _ INSURER E ,Windsor CO 80550 1 INSURER F: COVERAGES CERTIFICATE NUMBER: RFvminN KmuRFR- 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 ADOL SUDH POLICY NUMBER POLICY EFF NYYYI POLICY EXP (M1WDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 110001000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR CSU0055744 /4/2014 /4/2015 DANIAGE TO PREMISES RENTED nc S 100,000 MED EXP (Any onePerson) $ 2,000 PERSONAL &ADV INJURY $ 11000,000 dditional Insured per GENERAL AGGREGATE $ 2,000,000 attached Form CSIA405 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP ASS $ 2,000,000 (08-09)-C including Comp POLICY X PRO LOC loperations as ARNC $ AUTOMOBILE LIASILRY COMBINED SINGLE LIMIT11000,000 X BODILY INJURY (Per person) $ B ANY AUTO � OOWNED SCHEDULED OS 0236943 /4/2014 /4/2015 BODILY INJURY(P. eccidene) S NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE er nfi $ Undennsured motorist Included X UMBRELLA LIAR X OCCUR EACH OCCURRENCE AGGREGATE C EXCESS LIAB CLAIMS -MADE DED RETENTI N M2,OOO,000 R080610590 /4/2014 /4/2015 WORKERS COMPENSATION WC STATU- DTH- ANDEMPLOYERS'LIABILITV Y/NANY PROPRIETOWPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NtAE.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Altaeh ACORD 101, Additional Remarks Schedule, If more space is required) Roofing Contractor. Certificate Holder is included as Additional Insured with regards to the General Liability and Umbrella Liability Coverage when required by written contract. A Waiver of Subrogation in favor of the Additional Insured's applies with regards to the General Liability coverage when required by written contract. City of Fort Collins Attn: Doug Clapp, Senior Buyer Purchasing Department 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) C Navarra, ACSR, CRIS-��-1-r+ire-� o] INS025(2o1o05)01 The ACORD name and logo are registered marks of ACORD TION. All riahts reserved. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU - OPERATIONS AND COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who is an Insured is amended to include as an additional insured any person or organization when you and such person or organization have agreed in writing in a con- tract or agreement that such person or organk zation be added as an additional insured on your policy, but only with respect to "bodily in- jury", "property damage" or "personal and ad- vertising injury" caused, in whole or in part, by: 1. Your acts or omissions in the perfor- mance of your ongoing operations for the additional insured ; 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional in- sured; or 3. "Your work" performed for the additional insured and included in the "products - completed operations hazard. If not specified otherwise in the written con- tract or agreement, a person's or organiza- tion's status as an additional insured under this endorsement ends one year after your operations for that additional insured are completed. The written contract or agreement must be currently in effect or become effec- tive during the term of this Coverage Part. The contract or agreement must be executed prior to the "bodily injury". "property damage" or "personal and advertising injury" to which this endorsement pertains. 2. if coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such ad- ditional insured will not be broader than that which you are required by the con- tract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following addi- tional exclusions apply: This insurance does not apply to: 1. "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, includ- ing: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or draw- ings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily Injury" or "property damage" aris- ing out of "your work" for which a consoli- dated (wrap-up) insurance program has been provided by the prime contrac- tor/project manager or owner of the con- struction project in which you are in- volved. However: 3. "Bodily injury*, "property damage' or 1. The insurance afforded to such additional "personal and advertising injury" to any insured only applies to the extent permit- employee of you or to any obligation of ted by law; and the additional insured to indemnify an- other because of damages arising out of such injury. Includes copyrighted material of ISO CSIA405 (08/09)-C Properties, Inc., with its permission. Pagel of 4. "Bodily injury", "property damage" or "personal and advertising injury" for which the Named Insured is afforded no coverage under this policy of insurance. C. With respect to the insurance afforded to these additional insureds, SECTION III - LIM- ITS OF INSURANCE is amended to include: The limits applicable to the additional insured are those specified in the written contract or agreement or in the Declarations of this Cov- erage Part, whichever is less. If no limits are specified in the written contract or agreement, the limits applicable to the additional insured are those specified in the Declarations of this Coverage Part. The limits of Insurance are In- clusive of and not in addition to the limits of insurance shown in the Declarations. D. With respect to the insurance afforded to these additional insureds, SECTION IV - COMMERCIAL GENERAL LIABILITY CON- DITIONS, 4. Other Insurance is amended to include: Any coverage provided herein will be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent or on any other basis unless you have agreed in a written con- tract or written agreement executed prior to any loss that this insurance will be primary. This insurance will be noncontributory only if you have so agreed in a written contract or written agreement executed prior to any loss and this coverage is determined to be prima- ry. Includes copyrighted material of ISO CSIA405 (08109)-C Properties, Inc., with its permission. PageQ of 2