HomeMy WebLinkAbout453145 INDEPENDENT ROOFING INC - INSURANCE CERTIFICATE (5)ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD1YYYY)
01/08/2015
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Independent Roofing Inc
INSURER APinnacol Assurance
41190
INSURER B'.
405 22nd Street
INSURERC'
Greeley, CO 80631
NSURERO:
NSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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
ADDL
POLICYEFFECTIVE
POLICY E
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DWXPIRATION
DATQMMOYY)
OATE(MM100/YYTYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENEML LIABILITY
CLAIME MADE OLLUR
PREMISES
MED EX An one aam nl
PERSONALS ADV INJURY
GENL AGGREGATE LIMIT APPLIERS PER:
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGO
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(EaAccident)
BODILYINJURY
ALLOWNEDAUTOS
SCHEDULEDAUTOS
(Per pemon)
HIRED ALTOS
BODILY INJURY
NON�OWNEDAUTOS
(PeraccoeM
PROPERTY DAMAGE
(Peracci0en1)
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
J
AUTO ONLY. AGE
E%CESSNMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
WC STATLL OTHER
A
EMPLOYERS LIABILITY
ANY PROPRIETORNARTNER/E%ECUTNE
866470
01/01/2015
01/01/2016
TORYLIMITS
E.L EACH ACCIDENT
$1,000,000
OFFICERIMEMBER EXCLUDED'
E.L DISEASE - EA EMPLOYEE
$1,000.000
If yes, please Eeac,ipeuntler SPECIAL PROVISIONS below
EL DISEASE - POLICY LIMIT 1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1581239
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
P.O. Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80522
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sara Beinlich
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988