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HomeMy WebLinkAbout262877 RTN ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (4)ROOFT-1 OP ID: CT CERTIFICATE OF LIABILITY INSURANCE oaT05/01/1405101114 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 WANED, 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 970-223-1804 VolkBell PropeM 8 Casualty 1100 Haxton Dr. uite #100 CONTACT NAME: PHONE FAX ac No Est). uc Na Fort Collins, CO 80525 Steven G. Smith /Y �r EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICS INSURER A: CNA Insurance Companies 20427 INSURED RTN Roofing Systems, LLC 5854 Lockheed Ave. INSURER B: —' Loveland, CO 80538 INSURERC: INSURER D : 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 OF INSURANCE L kDDTYPE R POLICY NUMBER MMIDDfYTf POLICY EFF MMIDDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X 5084284015 - 05/01/14 05/01/15 EACH OCCURRENCE E 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP(Anyone person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECP'OLOC PRODUCTS - COMP/OP AGO $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON WNED HIRED AUTOS N AUTOS X 5084284015 05/01/14 05/01/15 COMBINED SINGLE LIMIT 8 1,000,000 X Ssoadeni BODILY IWURY(Per person) $ BODILY INJURY (Per ecadent) $ X PROPERTY DAMAGE Per amdent $ E A J( UMBRELLALIAB EXCESS LIAR X OCCUR CI-XMS-MADE 4030407376 05/01/14 05/01/15 EACH OCCURRENCE S 1,000,00 AGGREGATE $ OED X RETENTIONE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEMEXECUTNE ❑ OFFICER EMBER EXCLUDEDT (Mandatory In NH) If yes, describe antler DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- T RY LIMIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ A Inland Marine 5084284015 05/01/14 05/01/15 Inst Fit 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addkonal Remake Schedule, If more space Is mqulred) The City of Ft. Collins is listed as an Additional Insured with regards to the General and Auto Liabiity policy(s). City of Fort Collins Purchasing Division 215 N. Mason St 2nd Floor P.O. Box 580 ,Ft. Collins, CO 80522-0580 CITYF-1 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 REPRESENTAT WE C 1988-2010 ACORD ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD reserved.