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Home My WebLink AboutFRAILEY ROOFING LLC - INSURANCE CERTIFICATEFRAIROO-01 MAUCOIN ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE 1 41301230@014 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 - --- -- - -" Forsberg Engerman.Co _ _-.. 3575 S Sherman St Englewood, CO 80113 - I NAME CT Brooke Pawling - - PHONE - FAX - A/C Ne Eat : (303) 762-1717 we Re ;`(303) 762=1733 E-MAIL ADDRESS: brooke@forsberg-engerman.com INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Cincinnati Specialty UnderVldters Insurance Company 13037 ' - INSURED INSURER B: Plnnacol Assurance 41190 INSURER C Frailey Roofing LLC INSURER D: 790 Whispering Oak Dr Castle Rock, CO 80104 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 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 SUum POUCYNUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIALGENERALLIABWTY CLAIMS -MADE � OCCUR CS00055230 02114/2014 02/14/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $- 1,00 PERSONAL B ADV INJURY $ 1,000,00 'GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECTLOC OTHER GENERALAGGREGATE $ 2,000,00 X PRODUCTS-COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS ' COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par Person) $ id P BODILY INJURY (Per accent ( ) $ PROPERTY DAMAGE Peraccidenl $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ i $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? M (Mandatory In NH) If y dawn -be waver DESCRIPTION OF OPERATIONS below NIA 4154890 0410112014 04/01/2016 X PER OTH- STATUTE X ER EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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. AUTHORIZED REPRESENTATIVE //A ACORD 25 (2014/01) @ 1988-2014 ACORD The ACORD name and logo are registered marks of ACORD All riahts reserved