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HomeMy WebLinkAboutFOOTHILLS GUTTER & INSTALATION INC - INSURANCE CERTIFICATE (2)FOOTGUT-01
AilCCM®e CERTIFICATE OF LIABILITY INSURANCE DA1714I„�"q"i
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 ADDITION,
If SUBROGATION IS WANED, subject to the terms:
PRODUCER
INSURED
Group
n Parkway Suite 200
180534
Foothills Gutter & Insulation_ Inc
Telk Sheet Metal Works Inc dba
PO Box.2156
Loveland, CO 80639
SURED, the policy(ies) must.have ADDITIONAL INSURED provisions or be endorsed.
)nditions of the policy, certain policies may require an endorsement. A statement on
635-9400
COVERAGES CERTIFICATE'NUMBER. REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TER tyI
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INS IURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
'TYPE OF INSURANCE
ADDL
SUBR
LACY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F—X] OCCUR
60484429,
1216/2019
12/5/2020
EACH OCCURRENCE
:$ 1,000,000
DAMAGE TO RENTED PREMISES Meoccurrence
MED EXP (Any one arson
$ 100,000
$ 51000
PERSONAL &ADV INJURY
_$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ❑ jPCOT LOC
OTHER:
GENERAL AGGREGATE
.$ 2,000,000
PRODUCTS - COMPIOP AGG
.$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
OAMED SCHEDULED
AUTOS ONLY AUTOS
W�
AUTOS ONLY X AVTO ONL�
60484429
12/5/2019
12/6/2020
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY PerPerson)
$
BODILY INJURY Per accident
$
X
PP'rr amideT rsDAMAGE
$
A
UMBRELLA LIAR
EXCESSUA13
X
OCCUR
CLAIMS -MADE
60484429
12/5/2019
12/5/2020
EACH OCCURRENCE.
$ 1,000,000
X
AGGREGATE
$ 1,000,000
DIED I X I RETENTION $ D
B
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OOFFICERIMEMgER EXCLUDED?
(Mandatory 7n NH)
If yes, describe under
DE CRIPTION OF OPERATIONS below
N I A
4213865
-
12/1/2019
- -
12/1/2020
PER E FORTH -
STATUT
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101, Additional
If required by written contract or written agreement, the certificate
Remarks Schedule, ma be attached N more apace Is required)
holder is IncludeNfas additional Insured for ongoing operations.
Fort Collins Utilities Attn: Kaye Mathea
P.O. Box 680
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORRED REPRESENTATIVE
PocA 0. VW
ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All
The ACORD name and logo are registered marks of ACORD