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HomeMy WebLinkAbout262877 RTN ROOFING SYSTEMS - INSURANCE CERTIFICATE (2)ACORD0 AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/19/2019 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 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 endorsements . PRODUCER CONTACT NAME: Renee -McReynolds PHONE (970) 679-7344 AX No: (866)425-6180 Ewing -Leavitt Insurance Agency, Inc. renee-mcreynolds@leavitt.com 4090 Clydesdale Parkway -ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Suite 101 INSURERA:United Fire & Casualty 13021 Loveland CO 80538 INSURED INSURER B :Pinnacol Assurance _ 41190 INSURERC: RTN Roofing Systems LLC INSURERD: 7795 SW Frontage Rd INSURER E : INSURERF: Fort Collins CO 80528 COVERAGES CERTIFICATE NUMBER:19-20 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE (RENTED PREMISE Ea occurrence) $ 500,000 X MED EXP Any one person) $ 10,000 Blanket Addl Insureds 60488595 4/1/2019 4/l/2020 X Blanket WOS PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 60488595 4/1/2019 4/1/2020 BODILY INJURY (Perid accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS X $ Blkt WOS X Blkt Addl Insureds X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ 60488595 4/l/2019 4/l/2020 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A incl Blanket Waiver of Subrogation 4054406 4/1/2019 4/1/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE- EA EMPLOYE $ 500�000 If yes, describe under DESCRIPTION OF OPERATIONS below --__ ---- $ 500,000 -------_. E.L. DISEASE - POLICY LIMIT A installation Floater 60486595 4/1/2019 4/l/2020 $50.000 Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins 700 Wood Street Fort Collins, CO 80521 Loy-, 19 Lila A AG1 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 R McReynolds/RESTED ACORD 25 (2014/01) INICn9rt 1enII ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD