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Home My WebLink About453145 INDEPENDENT ROOFING SPECIALISTS LLC - INSURANCE CERTIFICATE,.ram Page 1 of 1 DATE (MMIDDiYYYY) �(JRO CERTIFICATE OF LIABILITY INSURANCE O1/25/2019 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 have ADDITIONAL INSURED provisions or 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 NAME: Willie of Colorado, Inc. FAX - --- --- c/o 26 Century Blvd PHONE 1-877-945-7378 AIC,No): 1-888-467-2378 MAIL certificates@willis.com P.O. Sox 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDINOCOVERAGE NAICir INSURED Independent Roofing Specialists Attn: Jeremy Shull 4995 Locust St Commerce City, CO 80022 INSURER A: Kinsale Insurance Company 38920 INSURER B : Ohio Casualty Insurance CosgMay 24074 LLC INSURER C ; Pinnacol Assurance Company 41190 INSURER D : INSURER E : Cr1VFRAr3GS f r-PTIFICATF NIIMRFP- W9976621 RFVISION 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'. -- �- ------..,AbDL, �- - '' LTR TYPE OF INSURANCE MOLICEFF POLICY NUMBER ,YYYY IrN �O'YYXP LIMBS X COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR { OAMAC;E 70 RlN7E0 LPREMISE$ E _gequrrQngF)$ 100000 A MED EXP (An one person) $ 0 0100078464-0 01/01/2019.01/01/2020,PERSONALBADVINJURY $ ... 1,000,000 ----- --- _- --- GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 - " PRO• POLICY X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1, 000, 000 X ANY AUTO BODILY INJURY (Per person) $ B OWNED ' SCHEDULED SAS (19) 56290543 01/01/2019 01/01/2020 gQDILYINJURY(Peraccoent) S AUTOS ONLY UTOS HIRED NON�OWNED I PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY _L?9t !9g.nt1. _._ _._.._.._-._.._.. UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A X 'li EXCESS LIAB CLAIMS -MADE 0100078644-0 01/02/2019 01/01/2020(AG(aREGATE ff I$ 1,000,000 DED X RETENTION 0 $ WORKERS COMPENSATION ' I X IPER H- I � AND EMPLOYERS' LIABILITY YiN TATUTE ER C ANYPROPRIETORTARTNER EXECUTIVE OFFICER/MEMBEREXCLUDED? Yas N / A E.L. EACH ACCIDENT 4096550 01/01/2019 01/01/2020 `---.-..-- "—"' $ 1,000 000 1,000,000 (Mandatory In NH) E.L, DISEASE - EA EMPLOYEE ..__._____ $ __ If yes. describe under DESCRIPTION OF OPERATIONS below . E.L. DISEASE- POLICY LIMIT _.__._ $ _.__... 1,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The following are Additional Insureds as respects General Liability only if required by written contract and coverage applies only as respects ongoing operations performed by the Insured for the Additional Insureds. Additional Insureds: City of Fort Collins All coverage terms, conditions and exclusions of the policy apply. The Additional Insured endorsement which is referenced above under "Type of Insurance -General Liability" . CATE HOL City of Fort Collins 281 N. College Ave.; P.O. Box 580 Fort Collins, CO 805220580 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 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 17421975 BATCH. 1042819 2 of 3 42