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