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Home My WebLink About453145 INDEPENDENT ROOFING SPECIALISTS LLC - INSURANCE CERTIFICATE (2)Page 1 of 1 AC" DATE( MM/DD/YYYY) '11i CERTIFICATE OF LIABILITY INSURANCE 0l/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(les) 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: Willis of Colorado, Inc. PHONE...._._ -......_...._..._.,.___-I FAX _...-_. .. _..__...__ ._.......__. c/o 26 Century Blvd {ALG• No- Ext1 1-877-945-7376 I IA/C. No): 1-888 467-2378 E-MAIL ctificates@willis.com P.O. Box 305191 ADDRESS:er Nashville, TN 372305191 USA INSURER S AFFORDINGCOVlRAG! N INSURED Independent Roofing Specialists, LLC Attn: Jeremy Shull 4995 Locust St Commerce City, CO 80022 ( ) AIC p INSURER A: Kinsale Insurance Company 38920 INSURERB: Ohio Casualty Insurance Company 24074 INSURER C : Pinnacol Assuranc* Company 41190 INSURER E COVERAGES CERTIFICATE NIIMRFR- W9976622 REVISION NIIMRFR- 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. ADDL'SU73 _—^! POLICY EFF ' POLICY EXP ILTR - r - — TYPE OF INSURANCE MMIDD/YYYY MMlDDlYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS -MADE XOCCUR DAMAGETO RENTED , PI�MIr_9S (Ea occurrenye�_$ 100,000 A MED EXP (Any one person) $ 0 0100078464-0 01/01/2019 01/01/2020 PERSONAL BADVINJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 _i POLICY-..X... E O - LOG PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accden$ 1, D00, D00 X ANY AUTO BODILY INJURY (Per person) $ B OWNED HAS (19) 56290543 01/01/2019 01/01/2020 BODILY INJURY (Per accident) $ ASCHEDULED AUTOS ONLY U70S HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ A UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS -MADE .- 0100078644-0 01/01/2019 01/01/2020 AGGREGATE $ 1,000,000 DED I X RETENTION 0 $ WORKERS COMPENSATION X T OTH- AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 C ANYPROPRIETOR/PARTNER/EXECUTIVE Yes N! A OFFICER/MEMBER EXCLUDED? i 4096550 101/01/2019101/01/2020 (Mandatory In NH) If yes. describe under E.L. DISEASE—EA_EM_PLOY $_ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins,ns CO 60522 9)1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID' 17421975 13ATCH: 1042819 3of3 42