HomeMy WebLinkAbout399198 FRONT RANGE ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (4)ACCORV CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
04/17/2019
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 Valerie Love, CIC, CISR
NAME:
Flood and Peterson
PHONE (970) 506-3215 FAX (970) 506-6865
AIC No Ext : AIC No):
E-MAIL VLove@FloodPeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
Greeley, CO 80632
INSURER A : National Fire Insurance Co of Hartford
20478
INSURED
INSURER B : Continental Casualty Company
20443
INSURER C : American Casualty Company of Reading Pennsylvania
20427
Front Range Roofing Systems, LLC
INSURER D :
222 13th Ave
INSURER E :
Greeley, CO 80631
INSURER F :
COVERAGES CERTIFICATE NUMBER: 2019 - 2020 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.
ILTR
- TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDD/YYFF
MMIDD POLICY EXP
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
X
A
500,000
CLAIMS -MADE OCCUR
PREMISES Ea occurrence
$
MED EXP (Any one person)
$ 15,000
PERSONAL & ADV INJURY
$ 1,000,000
A
6046127324
05/01/2019
05/01/2020
GEMLAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY PRO ❑ LOC
JECT
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER,
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
A
OWNED SCHEDULED
6046127310
05/01/2019
05/01/2020
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
PROPERTY DAMAGE
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Per accident
$
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
B
EXCESS LIAB
CLAIMS -MADE
CUE6049565482
05/01/2019
05/01/2020
DED I X1 RETENTION $ 10,000
$
WORKERS COMPENSATION
X1 �RH
AND EMPLOYERS' LIABILITY YIN
SPER TATUTE
E.L. EACH ACCIDENT
$ 1,000,000
C
ANY PROPRIETOR/PARTNER/EXECUTIVE
NIA
6046127307
O5/01/2019
OS/01/2020
1,000,000
OFFICER/MEMBER EXCLUDED?FN]
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$
If ves, describe under
1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
Property/Inland Marine
A
6046449378
05/01/2019
05/01/2020
Leased/Rented Equipmet
Limit $100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Project: 700 Woods Meter Shop Reroof
City of Fort Collins is named as Additional Insured.
l:tK 1 It IL;A I t MULUtK
City of Fort Collins
300 Laporte Avenue
Fort Collins
CO 80521
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
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD