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HomeMy WebLinkAboutARAPAHOE ROOFING AND SHEET METAL INC - INSURANCE CERTIFICATEClient#: 1083767 ARAPAROO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE/YYYY) 4/24/201/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: CT Julie King USI Insurance Services, LLC PHONE El , 800 873-8500 ac No : 303 831-5295 P.O. Box 7050 E-MAIL den.certificate@usi.com ADDRESS: Englewood, CO 80155 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC n INSURER A • National Fire Insurance Co. of Hartford 20478 INSURED INSURER B : American Guarantee a Liability Ins Co. 26247 Arapahoe Roofing and Sheet Metal, Inc. American Casualty Company 20427 1501 Arthur Ave INSURERC: ofReadinyPA Louisville, CO 80027 INSURERD: INSURER E : INSURER F : COVERAGES 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER _ 5092133281 POLICY EFF �MM/DD/YYY I POLICY EXP MWDD/YYY LIMITS $1 000 000 $500000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 5/01 /2019; 05/01/2020 EACH OCCURRENCE PREMISES Ea occurrence MED EXP (Any one person) $15 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7X JECOT- LOC OTHER: GENERAL AGGREGATE $2,000,000 $2 000,000 PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Drive Oth Car 5092133278 5/01/2019 05/01/2020 COMBINED SINGLE LIMIT Ea accident)1,000,000 X X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X $ B X UMBRELLA LIAB EXCESS LIAB 1X OCCUR CLAIMS -MADE SXS014740701 5/01 /2019 05/01/2020 EACH OCCURRENCE s6,000,000 rl AGGREGATE s6.000.000 DED X RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? 7 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 5092133295 5/01/2019 05/01/202 X PER OTH- E.L. EACH ACCIDENT $1 O00 000 E.L. DISEASE - EA EMPLOYEE $1 00O 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins Attn: Delynn Coldrion P.O. Box 580 Fort Collins, CO 80522-0000 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 ACORD 25 (2016/03) 1 of 1 #S25522175/M25516821 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SECZP