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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