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HomeMy WebLinkAboutROOF MASTERS OF COLORADO LLC - INSURANCE CERTIFICATE (4)ACORO�" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/15/2019 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 endorsement(s). PRODUCER CONTACT COWe3t Corporate NAME: � CO WEST INSURANCE GROUP .PHONE Ext): (303)688-9597 AIC No:(303)688-8858 PO Box 910 E-MAIL s"info@cowest.com Castle Rock CO 80104 INSURED Roof Masters Of Colorado Llc 1360 Bluebell Ave (Boulder CO 80302-7832 1INSURER F: rnV1=RA(:FJ2 r'-FRTIFICATF NIIMRFR49/20 MASTER WC ONLY RFVISION NtIMRFR- NAIC 0 41190 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. IN SR LTR TYPE OF INSURANCE A DL SUBR POLICY EFF POLICY NUMBER MM/DD POLICY EXP MMIDD/VVYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE $ TO RENTED CLAIMS -MADE 1:1a OCCUR PREMISES (Ea o=rrence) $ MED EXP (Any one person) $ PERSONAL BADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS HAUTOS $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ _ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N x R OTH- TATE ER _ ANYOFF PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ lOO OOO A (Mandatory H) EXCLUDED? (Mandatory in NH) N/A 4212177 9/1/2019 9/1/2020 E.L. DISEASE - EA EMPLOYEE E 100,000 If yes, describe under DESCRIPTION OF OPERATIONS relow E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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 in Schaper/ESS ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025