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Home My WebLink AboutBOB BEHRENDS ROOFING LLC - INSURANCE CERTIFICATEBOBBE-1 OP ID: CAGA AATE k �R CERTIFICATE OF LIABILITY INSURANCE (MMMONYYY) 10H4/2013 °101141013 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: N the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. N 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 endorseme s . PRODUCER Stock Insurance Group, Inc. 929 Washington St 02 Denver, CO 80203 CONTACT NAME PHONE FAX . (Ar— ft. ra): ADDRESS: Zach Stock INSURER(S) AFFORDING COVERAGE NAICr INSURER A: United Specialty Insurance Co 12S37 INSURED Bob Behrends Roofing, LLC INSURER B: National Union Fire Insurance 19445 Bob Behrens Roofing Com9 Div KSB Gutters, LLC 614 Sth AV INSURER c: Pinnacol 41190 INSURER D:LIbB Mutual Group INSURER E : Greeley, CO 80631 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 POUCIES 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 POLICY NUMBER POLICY EFF MMMONYYY1 POLICY E(P (MUFDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISES Eaomrtass S 50,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a]OCCURMEE, X X BT01427275 11/01/2014 0510=016 EXP(AMy parson) f excludec PERSONAL S ADV INJURY S 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEITL AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGG S 2,000, POLICY X PRG- LOC S AUTOMOBILE UABRM Y COMBINED SINGLE LIMIT Ea emmn[ BODILY ULIURY(Pm Penm) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Ps emdmd ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE PERACCIDE S f UMBRELLA UAS X OCCUR EACH OCCURRENCE $ 5,000, X AGGREGATE s 5,000,00 B EXGtSSUAO CLAIMS -MADE BE0918430365 1110112014 06l0112016 DED X RETENTION 10000 S C WORKERS COMPENSATION AND EMPLOYERS ANY P ORIPART WEXECUTNE YIN OFFICERIMEMBER E%CLUDE09 NIA X 4087087 11/01/2014 11/01/2016 X WC STAN- OTH- ER E.L. EACH ACCIDENT $ 500100( E.L. DISEASE - EA EMPLOYEd S 500,00 (Manda"In NH) Byes desaiO .0 DESCRIPTION OF OPERATIONS We EL- DISEASE - POLICY LMIT S 600, D Pollution Liabilit ELA1572314 02128/2014 02/2512015 Per Occur 1,000,00( Aggregate 2,000,00( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A UA ACORD 101, AdMimW RN SeleduK N mme apace Is rsyu4M) Certificate Holder is an additional insured if required by written contract r Blanket Additional Insured endorsement. Waivers of Subrogation apply to Workers Compensation and General Liability. City of Fort Collins PO 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 RRE7EPRESENTAMEE ®1958-2010 ACORD CORPORATION_ All rinhfA ranorwd