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PROFESSIONAL ROOFING & EXTERIORS - INSURANCE CERTIFICATE
''✓ �® CERTIFICATE OF LIABILITY INSURANCE gii2/2o° 4 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(les) 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 Taggart and Associates, Inc 1600 Canyon Boulevard P. 0. BOX 147 Boulder CO 80306 CONTACT Jennifer Munro NAME: PNONE (3EgL_03)442-1484 FAX 13031442-8822 'MAIL .jmunro®taggartinsurance.com INSUREI AFFORDING COVERAGE NAIC9 INSURERA:The Cincinnati Special 13037 INSURED Professional Roofing, Inc. dba Professional Roofing & Exteriors 5790 Lamar Street AIvada CO 80002 INSURERS Plnnacol Assurance 41190 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 GL 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 ADD POLICY NUMBER MWDDPOUCY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7XIOCCUR CSU0060404 7 /15/2019 7 /15/2015 EACH OCCURRENCE 5 11000,000 DAMA T PREMISE Ea acwTanc $ BOO, OOO MED EXP(Any one person) $ EXCLUDED PERSONAL B ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMNOP AGG S 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ E UMBRELLA LIABCESS LIA EXCESS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER,'MEMBER E%CLUDEDi (Mandatory in NH) If yes descdbeunder DESCRIPTION OF OPERATIONS be. NIA 113360 /Ol/2014 /Ol/2015 X AC STATU- DTH- E. L. EACH ACCIDENT $ 500,000 E. L. DISEASE - EA EMPLOYE $ 500,000 EL. DISEASE -POLICY LIMIT I $ 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddiOanal Ramose Schedule, U more space is required) City of Fort Collins P.O. BOX 580 Ft. Collins, CO 80522 ,W-1 iList 9 al -I 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 Munro, CIC/JRM - - (- VA,-- ©1988.2010 ACORD CORPORATION. All rights reserve IN1025 ,nlnnei n1 Th. Arntan .. n..nn Inn„ .,. mni.4crn,i mark. m ArnNn.