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HomeMy WebLinkAboutPARAGON ROOFING INC - INSURANCE CERTIFICATE 2018ACOR 7 0 `l CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/30/2018 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 Madison Insurance Group 600 South Cherry St, Ste 900 Denver CO 80246 NAME: Paula Blohm FA C PH NEo 3033220800 (A/C,No): 3033220874 A/NExt : ADDRESS: pblohm@madisoninsurance.net INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : CENTRAL MUT INS CO 20230 INSURED Paragon Roofing, Inc. PO BOX 271011 FORT COLLINS CO 80527 INSURER B : COLONY INSURANCE COMPANY INSURER C : PINNACOL ASSURANCE COMPANY 41190 INSURER D : INSURER E : INSURER F : Cr)VFRAGFS CERTIFICATE NUMBER REVISION NUMBER: 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) LIMITS B X( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR I 101 GL 0089444-00 I 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 17- PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,OOQ000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BAP 9755888 04/13/2018 04/13/2019 (Ea accident $ 1'000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N NY PROPRIETOR/PARTNER/EXECUTIVE IFFICER/MEMBER EXCLUDED? Mandatory in NH) describe under DESCRIPTION OF OPERATIONS below '[DESCRIPTION NIP` . 4138816 01/01/2019 01/0I/2020 XSTATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CFRTIFICATF Hni nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 N College Ave AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD