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HomeMy WebLinkAboutDRURY BROTHERS ROOFING INC - INSURANCE CERTIFICATEACORO' PRODUCER Western Group Inc. -Pueblo 511 W 10th St Ste A P.O. Box 1958 Pueblo, CO 81002 John Lane INSURED 2201 N. Pueblo, f'n%ICD A!_GC DRURY-1 OP ID: SV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/03/2015 Phone: 719-543-3604 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR INSURERS AFFORDING COVERAGE NAIC # Inc. INSURER A. United Specialty Insurance Co. INSURER B. COLORADO CASUALTY INS.CO. 41785 INSURER c- National Union Fire Insurance 19445 INSURER D: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 04/09/2016 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fj�] OCCUR BV01312145 04/09/2015 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occur nce $ 50,00 MED EXP (Any one person) $ EXCLUDE PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. 17 POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAS55461022 04/09/2015 04/09/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (PER PERSON) $ BODILY INJURY (PER ACCIDENT) $ PROPERTY DAMAGE (PER ACCIDENT) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ C EXCESS! UMBRELLA LIABILITY -K OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 BE019131562 04/09/2015 04/09/2016 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTSI ANY PROPRIETOR/PARTNER/EXECUTIVE ElE.L. OFFICERIMEMBER EXCLUDED? (Mandatory in NH) S ECIAL PROVISIONS below yes, describe under SP WC STATU- OTH- EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Roofing Contractor CITY OF FORT COLLINS LICENSING DEPARTMENT PO BOX 580 FORT COLLINS, CO 80522-0580 FORTC-1 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUIN SURER WILL ENDTHEBUIATILFAILURE 10 DAYS WRITTEN NOTICE TO THE CERTIFI E LDER NA D TO TO DO SO SHALL IMPOSE NO OBLIGAT O IAB141TjAfE INSURER, ITS AGENTS OR AUTHORIZED A%,Vrcv cD (cuuy/uTI ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD