HomeMy WebLinkAboutFOOTHILLS GUTTER & INSULATION INC - INSURANCE CERTIFICATEFOOTH-5 OP ID: LP
,acoRO' CERTIFICATE OF LIABILITY INSURANCE
DATE 1111912014
11/1912014
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 endorsements .
PRODUCER
PFS Insurance Group -JT
4848 Thompson Pkwy, Ste 200
CONTACT
NAME: Will Soto
PHONE FAX
Alc Na Ea : 970-635-9400 Alc N, : 970-635-9401
Johnstown, CO 80534
Will Soto
E-MAIL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC 0
INSURER A: EMC Insurance Companies
21415
INSURED Foothills Gutter & Insulation
INSURER B: Pinnacol Assurance Co
41190
Inc
Talk Sheet Metal Works Inc dba
INSURER C
INSURER D:
PO BOX 2156
INSURER E:
Loveland, CO 80539
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR-
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
rypE OF INSURANCE
ADDL
6
POLICY NUMBER
POLICY EFF
M WDDIYYYY
POLICY E%P
MMIDD/YYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE T OCCUR
5D06555
12I05/2014
12/05/2015
EACH OCCURRENCE
$ 1,000,00
PRREMISES Ea occurrence)
$ 100,00
X
MED EXP (Any one parson)
$ 5,000
BlktAddlInsured
X
Blkt Wvrof Subr
PERSONAL B ADV INJURY
$ 1,000,00
GEN'L
X
AGGREGATE LIMIT APPLIES PER:
POLICY RO-
JECT LOC
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS - COMPIOP AGG
$ 2,000,00
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,00
BODILY INJURY (Per person)
$
A
ANY AUTO
5EO6555
12/05/2014
12/06/2015
ALL OWNED X SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident
( )
$
NON -OWNED
HIREDAUTOS X AUTOS
X
PROPERTY DAMAGE
Peraccident
$
$
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
$
El
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
DED I RETENTIONS
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTNE YIN
OFFICERIMEMBER EXCLUDED'
NIA
4173269
12/01/2014
12/01/2015
IPER OTH-
STATUTE X ER
E.L. EACH ACCIDENT
$ 1,000;00
E. L. DISEASE-EAEMPLOYEE
$ 1,000,00
(Mandatory in NH)
n y describe under
DESCRIPTION OF OPERATIONS below
E. L. DISEASE -POLICY LIMIT
$ 1,000,00
A
Property
6AO6655
12 O512014
12/05/2016
BPP 25,00
Special/RC
Ded. 50
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional R.mablue Satiated., may his attached If... apace 1a r.Rulr.d)
CITYFCI
City of Fort Collins
Attn: Kaye
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
1988-2014 ACORD CORPORATION_ All rinhte mR.Rrvwd
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD