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HomeMy WebLinkAboutMD ROOFING LLC - INSURANCE CERTIFICATE (4)MDROOFI-01 BLONGCRIER ACERTIFICATE OF LIABILITY INSURANCE DATE(M si27/202YYY) 2o20 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 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifiaate_does,not confer rights to the certificate holder in lieu of such endorsements . PRODUCER N TACT Leiann Moss, CIC CB Insurance, LLC Pl�19 HONE 477-4245 4245 FAX (719) 228-1070 G M ao, Ext): `, ) (AIC, No 1 South Nevada Ave.; Suite 230 p . leiann.moss@centralbancorp.com Colorado Springs, CO 80903 ue11oc01m eccnvnrun enviceerc Nelrn INSURED MD Roofing, LLC 6785 Horseshoe Road Colorado Springs, CO 80923 nn%ren wr_vc rcorrrlrwrc ullutaob: RFVICIr1N1 NItIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERr CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN �ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD OR CONDITION OF ANY CONTRACTOR 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 POLICY NUMBER POLICY EFF pp POLICY EXP _ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR VOGPOO2394 lonsrzols 10/26/2020 EACH OCCURRENCE .$ 1,000,000 DAMAGE TO RENTED acdcu $ 50,006 MED.EXP (Any one erson $ 5,000 PERSONAL B ADV. INJURY .$ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY 1XI jP& LOC OTHER: GENERAL AGGREGATE .$ 2r000,000 PRODUCTS-CO MPIOP AG.G .$ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO AIUIgqTEEO��S ONLY AUTNOOSyUyL�EEDp AUTOSONLY AUTOS ONLY _ BINED ED accident) SINGLE LIMIT c $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY AMAGE Peraaident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DIED RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIIETgORIPARTNER/EXECUTIVE YIN Mandatory In NHj EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below N /'I` 21017$ 6/1/2020 6/1(2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DI$EABE - EA EMPLOYEE $ 1'050'050 E.L. DISEASE - POLICY LIMIT 11000,000 $ .. ... DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORO 701, Additional Remarks Schedule, may be attached N more space Is required) City of Fort.Collins 424 W Mulberry St _ 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 ACORD 25 (2016103) I 01088-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD