Loading...
HomeMy WebLinkAboutMD ROOFING LLC - INSURANCE CERTIFICATE (3)CERTIFICA MDROOFI-01 OF LIABILITY INSURANCE DATE (MMIDDIYYNY) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsementlsl. PRODUCER CB Insurance, LLC 1 South Nevada Ave., Suite 230 Colorado Springs, CO 80903 INSURED MD Roofing, LLC 6786 Horseshoe Road Colorado Springs, CO 80923 477-4245 4245 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE 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 I SUBR p POLICY NUMBER POLICY EFF MM POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR OGP002394 10/26/2019 10/26/2620 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES TO -RENTED (Fa occurrence) $ 50,000 MED EXP (Any.oneperson) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � %ef F7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AURRTEEO��S ONLY ALITOpSWNEp AUTO5 ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ BODILY INJURY (Perperson) $ BODILY INJURY Per accident $ PPerr, ,ZtDAMAGE $ UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $. .AGGREGATE. $. DED I I RETENTION $ B WORKERS COMPENSATION ANDEMP[OYERR/PARLIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (MarllCd ory In NH�'EXCLUDED? ❑Y ( If yes, describe under DESCRIPTION OF OPERATIONS bebw N I A 210178 6/1/2019 6/1/2020 X PER .. X OTH- UTE E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIAR 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additioirwl Remarks Schedule, may be attached If more spew Is required) CERTIFICATE HOLDER I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE City of Fort Collins tY THE EXPIRATION_ . DATE THEREOF, . NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 424 W Mulberry St Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE ;17 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD