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HomeMy WebLinkAboutFRAILEY ROOFING LLC - INSURANCE CERTIFICATE (5)FMIROO-01 IFEREN A�l.. ®RO- DATE (M-MW-bNYYY) CERTIFICATE OF LIABILITY INSURANCE 4i15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSNO 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), AUTHORR'ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INAURED 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 endorsemen s . PRODUCER C NTACT Jennifer Engerman PBoNNa. EXI : 303 788-1685 M, No :(303) 762-1733 Mountain West Insurance - Englewood 3575 S Sherman Street Englewood, CO 80113 5ff&j6sjennIfer6n@mtnWstcorn INSURE S AFFORDING COVERAGE NAIC # INSURER A: The Cincinnati Speclaity Underwriters Insurance Company 13037 INSURED INSURER B:Cincinnati Insurance Company 10677 INSURER C: Pinnacol.Assurance 41190 Frailey Roofing LLC INSURER D : 703 Anderson St Castle Rock, CO 80104 INSURER E - INSURER F : r-nVFRAI:FR CERTIFICATE NI IMRFR• RFVISInN NI IMRFR- 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. INSR TYPE OF. INSURANCE ADD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMnB A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR CS00056230 2/14/1026 2/14/2021 EACH OCCURRENCE 110001000 DAMAGE TO RENTED 100,000 MED EXP (Any one rson 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ j LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOP AGG 2;000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTNOSSWN p X AUTOS ONLY X. AUTOS O V ENP0483534 4/912020 - 4/9/2021 COMBINED SINGLE LIMB 1,000,000 BODILY INJURY Per Person) BODILY INJURY Per acciderd $ P ar eERdT ?AMAGE UMBRELLA LIIB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DED I I RETENTION E C " WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE a WQ�FICER/M�MggEERR EXCLUDED? _ (Mandatory.nNN) - - - - If yes describe under DESCRIPTION OF OPERATIONS below N / A " _ _ 4154890 . - _.. _ _ -,- _ - _ 4/1/2020 _ _ _ - _ 4/1/2021 _.- - - X PER OTH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA tMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 B Equipment Floater ENP0483534 4/9/2020 4/9/2021 Installation Floater _ 30,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City Of Fort Collins P.O. Box 580 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. U11 ill -I ZiW=i73d7343`1:1I3ilTi4 25 ©10 8-9015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD