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HomeMy WebLinkAboutPROGRESSIVE SERVICES INC DBA PROGRESSIVE ROOFING - INSURANCE CERTIFICATEA� E0 CERTIFICATE OF LIABILITY INSURANCE DATE (/MM/Y) o7zl/2019zots 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 MCGRIFF, SEIBELS 8 WILLIAMS, INC. P.O. Box 10265 CONTACT HDII CCe NAME: Holly PHCNNc 800-476-2211 A/C, No E-MAIL ADDRESS: hDruDe mc9 fiff.Com Birmingham, AL 35202 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Arch Insurance Company 11150 INSURED Progressive Services, Inc. dba Progressive Roofing INSURER B :American Guarantee and Liability Insurance Company 26247 INSURER C :Navi ators Specialty Insurance Company 36056 INSURER D 23 North 35th Avenue Phoenix, AZ 85009 INSURER E : INSURER F : r-nVFRAr-ES CERTIFICATE NUMBER:ZQCZRZX6 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. I LTR I TYPE OF INSURANCE ADDL 1 D UB POLICY NUMBER POLICY EFF MOD M/ POLICY MMIDD/YVYYY Y LIMITS A X COMMERCIAL GENERAL LIABILITY 31 PKG8929109 08/01/2019 08/01/2020 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR vn PREMISES Ea occurrence) $ 100,OOD MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMPIOP AGG $ 4,000,000 POLICY QJECT PRC- ❑ LOC $ OTHER: A AUTOMOBILE LIABILITY 31PKG8929109 08/01/2019 08/01/2020 COMBINED SINGLE LIMIT Ea accident) 2,000,000 BODILY INJURY (Per parson) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par acaden[ $ B UMBRELLA LUIB X OCCUR UC019994803 Note: For Auto, $3M Excess Auto 08/01/2019 08/01/2020 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE Buffer applies first DED X RETE $ I A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER FXCLUDED7 ❑N (Mandatory in NH) d yes, oescnoe under DESCRIPTION OF OPERATIONS below N /A 31WC18906509 Part I WC Statutory Benefits Applies For All States EXCEPT OH, ND, WA B WY. Part II Employers Liability plies For All States Including OH, 'N , WA, 8 WY. 08/01/2019 08/01/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Excess Auto Liability Buffer LA19EXC9409941C 08/01/2019 08/01/2020 Each Occurcence or Event 3,000,000 In Excess of Arch $2M Auto $ Liability Policy $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sample Insurance rcoTlrlr ATc unl nco CANCFI I ATION 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 AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, CO 80526 Page 1 of 1 U 1966-ZU1b ALUKO UUKHUKAI IUN. All rlgnLS reserveO. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD