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HomeMy WebLinkAboutD&J ROOFING - INSURANCE CERTIFICATE''� h® CERTIFICATE OF LIABILITY INSURANCE 8;i2i2014" 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 Taggart and Associates, Inc 1600 Canyon Boulevard P. O. BOX 147 Boulder CO 80306 CONTACT Jennifer Munro, CIC NAME: PHONE (303)442-1484 FAX .(101)442-ee22 qp RIE :jmuarO@taggartinsurance.com INSURERS AFFORDING COVERAGE NAIC0 INSURERA The Cincinnati Special 13037 INSURED D&J Enterprises, Inc, DBA: D&J Roofing 216 Commerce Drive Unit E Fort Collins CO 80524 INSURER B:Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R OF INSURANCE ADOTYPE JNM L SUBR POLICY NUMBER POLICY POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 7 CLAIMSMADE FxIOCCUR S00060860 7 /26/2014 7 /26/2015 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP(my one person) $ EXCLUDED PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JFCIT PRODUCTS - COMP/OP AGO $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS OS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea acudent BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB EXCESS QAB OCCUR CLAIMS-dADE I$ EACH OCCURRENCE S AGGREGATE $ DED RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY � ANY PROPHIETORIPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA 164668 /1/2014 /1/2015 WC STATU- OTH- E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E. L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) City of Fort Collins P.O. BOX 580 Ft. 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 Munro, CIC/JRM '�-s -- A- ©1988-2010 ACORD CORPORATION. All rights reserved. INSO25,Tn1n0si n1 Thu arY1Rn nano vn,I Innn aw runic}crud marl,. nF Annion