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HomeMy WebLinkAbout399198 FRONT RANGE ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (2)Client#: 19172 FRR00 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEoa18/zo8/20/14 la 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 CONTACTDebra Morris NAME: Flood &Peterson Ins., Inc. (X'NN , 970 5063211IFAX P. O. Box 578 Ed1All AK: No: 970 506$836 ADDRESS, DMorris@FloodPeterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE Noes 970 356-0123 ..._..___ . V.11.. r.......n.... INSURED Front Range Roofing Systems LLC p INSURERS: Continental Casually Company 3Q9 q$' 22213th Ave T INSURER C: Pinnacol Assurance Greeley, CO 80631-2272 INSURER D : Continental Insurance Company INSURER E INSURER 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 CONTRACTOR 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. LTR TYPE OF INSURANCE AOOL SUER POLICY NUMBER MMIDDYEFF POLICYUPLIMITS A GENERALLIABILITY X COMMERCIALOENERALUABIQTY CLAIMSMADE 51OCCUR X PD Ded:5.000 6012610705 5/01/2014 05101/2015 EACH OCCURRENCE E1 000000 PREMISES Eqeo&E,nnce $100000 MED EXP (Anyone parson) E5 000 PERSONAL S ADV INJURY $1 000 000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPUES PER: JECT 1-1 POLICY X. PRO- LOC PRODUCTS - COMPIOP AGO s2000000 E D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS 6012610672 5/01/2014 05/01/201 COMBINED SINGLE LIMIT Ea acoIlwt 1,000r000 BODILY INJURY(Per parson) S IX BODILY INJURY (Par aan1) e01dAUTOS f PROPERTY DAMAGEf Pe.wtdent E B X UMBRELLA LIAB EXCESS LAB OCCUR CWME-MADE 6012610686 5/01/2014 05/01/201 EACH OCCURRENCE $5 000 000 N AGGREGATE $$ 00O 000 DED I I RETENTION f C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYq ANY EEEREXDTEcunE OFFICWMMBRECLUDEYIN (Mandatory In NH) If yes deacnbe under DESCRIPTION OF OPERATIONS below MIA 1946560 9465 6/01/2013 6/01/2014 0610112014 06/0112015 X WC STATU- OTH- ER E.L. EACH ACCIDENT $1,000,000 E.l-DISEASE-FA EMPLOYEE S1000000 E.L. DISEASE - POLICY LIMIT f1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Addltlonal Remarks Schedule, if more space Is regWmd) 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. LTrICEul��dl:id9:13-)aOYalm�a ACORD 25 (2010/05) 1 of 1 #S880860/M880783 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DSM Client#: 19172 FRROO ACORD. CERTIFICATE OF LIABILITY INSURANCE D04/182014YY oananola 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. O. Box 578 Greeley, CO 80632 970 356-0123 RAMEA Debra Morris PyNCONN .970 506-3211 PAX A/CRp;970 506-6836 ADDDRRESS: DMorris@FloodPeterson.com INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Valley Forge Insurance Company INSURED Front Range Roofing Systems LLC 222 13th Ave Greeley, CO 80631-2272 INSURERS: Continental Casualty Company INSURER CPinnaeol Assurance INSURER0: Continental Insurance Company 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 CONTRACTOR 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. ILTRR TYPE OF INSURANCE I�RsVup POLICY NUMBER MIDDIIVYYY Y UP MWODNY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY CLAIMS -MADE 51OCCUR X PDDed:5,000 6012610705 5/01/20114 05/01/201 EEAAISESCCHH OCCURRENCE s1 OOO OOO PREMEaocctilDrence $100000 MED UP (My onepension) $5 000 PERSONAL &ADV INJURY $1000,000 GENERALAGGREGATE $2 000,000 GEN'LAGGREGATE POLICY X LIMIT APPLIES PER: PRO LOC JECTD PRODUCTS- COMPIOP AGO $2000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 6012610672 5/01/2014 05/01/201 COMBINED SINGLE LIMIT Ea accident)1,000,000 X BODILY INJURY Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccident E E B X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE 6012610686 5/01/2014 05/011/2015 EACH OCCURRENCE $5 OOO OOO AGGREGATE $S 000 000 DED RETENTION$ $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPEMBEREXLLUERIE ECUTIVE ED?7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1946560 1946560 6/01/2013 6/01/2014 06/01/201 06/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT E7 000000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT 1 $1,000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins is named as Additional Insured. 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. ACORD 25 (2010/05) 1 off #S880861/M880783 01938.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DSM