HomeMy WebLinkAboutMK ROOFING INC - INSURANCE CERTIFICATEA�� a DATE (MM,DD YYYY)
CERTIFICATE OF LIABILITY INSURANCE ; ,9 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 11 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
AssuredPartners Colorado
4582 S Ulster St Ste 600
Denver CO 80237
INSURED
MK Roofing, Inc.
8451 Rosemary Street
Commerce City CO 80222
MKROO-1
INSURER a: Westfield I
D:
E:
COVERAGES CERTIFICATE NUMBER: 1842277361 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 _ — - —_ - - - - - —.
LS TYPE OF INSURANCE I-- POLICY NUMBER
��P POLICY EXP r— .. _ _ _
IAAlDDlYYYY IM1DDfYYVY LIMITS
B
X COMMERCIAL GENERAL LIABILITY
Y
Y
CVVP0352678V
$1112019
8112020
EACH OCCURRENCE
$1,000.000
_ CLAIMS -MADE XOCCUR
J
TOTi ENTEa-_
PREMi$E$.(EO.aw(roPC9
S100.000
S S.OW
MED E%P (Any one person)
PERSONAL & ADV INJURY
$1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000.000
POLICY LJ J CT t.00
PRODUCTS COMPIOPAGG
$2,000.000
$
OTHER
B
AUTOMOBILE LIABILITY
Y
Y
CVVP0362678V
8/1/2019
8112020
COMBBIINFD SINGLE LIMIT
$1 ,91)(7000
BODILY INJURY (Per person)
S
X ANY AUTO
ALL
OS AUTNED AUTOSULED
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per awasmi
$
X HIRED AUTOS Fwl X NON -OWNED
OS
B
X
UMBRELLA LIA6 OCCUR
Y
Y
CVW0362678V
&12019
8112020 EACH OCCURRENCE
$1.000,000
$1,000.000
EXCESS uA,8 CLAIMS -MADE
AGGREGATE
DED RETENTION 5
$
A WORKERS COMPENSATION
Y
1038281
8/1/2019 8112020 X
AND EMPLOYERS' LIABILITY y / N
STATUTE
-
ANY PROPRIETOR rPARTNEWEXECUTIVE
E.L. EACH ACCIDENT
$1,000.000
RElOFFICEMEMBER EXCLUDED?
NIA
-
(Mandatory In NH)
E_. L. DISEASE EA EMPLOYEE
S 1,000.000
It yes, describe under
DESCRIPTION OF OPERATIONS bqIQw
E.L. DISEASE - POLICY LIMIT
$ 1. 000.000
i
i
DESCRIPTION OF OPERATIONS, LOCATIONS / VEHICLES (ACORD 101, Addilional Remarks Schedule, may be attached it more space Is required)
CERTIFICATE HOLDER CANCELLATION
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
215 North Mason Street
Fort Collins CO 80524
AUTHORIZED REPRESENTATIVE
C 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014;01) The ACORD name and logo are registered marks of ACORD
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