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Home My WebLink About124317 ADVANCED ROOFING TECHNOLOGIES LTD - INSURANCE CERTIFICATE (3)ACC ® DATE(MWDD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3/2/2015 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 endorsement(s). (PRODUCER CONTACT Charlene Navarra, ACSR, CRIS NAME: Moody Insurance Agency, Inc. (° a"cNo Extl. (303)824-6600 NoY. (303)370-01is 8055 East Tufts Avenue E-MAIL cnavarra®mood ins.com _ADDRESS: y _ Suite 1000 _ INSURERS AFFORDING COVERAGE NAIC I1 _ Denver CO 80237 INSURERA:Cincinnati Specialty Underwriters 13037 INSURED INSURER B:Cincinnati Indemnity Company 23280 Advanced Roofing Technologies LTD. INSURERC:Natl Union Fire Ins Co of Pitt 19445 4496 Bents Drive Unit C iuericcnn. Windsor CO 80550 1INSURER F: COVERAGES CERTIFICATE NUMHFR-15-16 With Forms RFVISIONI NIIMRFa- 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. INS TYPE OF INSURANCE A U POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE I X OCCUR CSU0055744 (a NTT ELATEDnc PREMISES S 100,000 MED EXP Any one arson $ 2,000 Additional Insured Status 3/4/2015 3/4/2016 PERSONAL &ADV INJURY $ 1,000,000 applies only to the GEN'L AGGREGATE UMIT APPLIES PER: POLICY T PRO- JECT LOC GENERAL AGGREGATE $ 2.000, 000 extent provided in Form CSIA405 08-09 PRODUCTS - COMP/OPAGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: - AUTOMOBILE LIABILITY - COMBINED SINGL I - Ea acc rill f 1,000,000 X BODILY INJURY (Per person) S B ANY AUTO ALL OWNED - ASCHEDULED AUTOS UTOS eBA0236993 3/4/2015 3/4/20I6 BODILY INJURY (Per accident) f NON -OWNED HIREDAUTOS AUTOS PROPERid Y DAMAGE S Underinsured motorist S - - Included X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2 000,000 -AGGREGATE $ 2,000 000 C EXCESS LIAR CLAIMS -MADE. X I DED I I RETENTION$ 10,000 $ 1 EE080610590 3/4/2015 3/4/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N- ANY PROPRiETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A TAT T R S E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101.. Additional Remarks Schedule, may be attached if more space is required) Roofing Contractor. Certificate Holder is included as Additional Insured with regards to the General Liability and Umbrella Liability Coverage when required by written contract. A Waiver of Subrogation in favor of the Additional Insured's applies with regards to the General Liability coverage when required by written contract. r c nv"Ucn City of Fort Collins Attn: Doug Clapp, Senior Buyer Purchasing Department 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 C Navarra, ACSR, CRIS-�t.er--e�w-� -- U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I NS025 i zcl 401,