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Home My WebLink About399198 FRONT RANGE ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (5)A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 4/22/2015 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 Flood and Peterson PO Box 578 Greeley, CO 80632 CONT NAMEACT Debra Morris PHONE (970) 506-3211 FAX N (970)506-6036 ADORLESSDMorris@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC# INSURERA.ValleV Forge Insurance Com an INSURED Front Range Roofing Systems LLC 222 13th Ave Greeley, CO 80631 INSURERB:COntinental Insurance Com an INSURERC:Continental Casualty Company INSURERD:Pinnacol Assurance 41190 INSURER E: INSURER F: rnvcoAr-cc rFRTIFIrATF NIIMRFR CL1542202329 REVISION NUMBER: V 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 LTRINSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DDIYYVY POIEXP MMLDO LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded $5,000 6012610705 5/1/2015 /1/2016 EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED PREMISES Es occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL SADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOSAUTOS 6012610672 /1/2015 /1/2016 (Ea accident SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accidentUMBRELLALIAB EXCESS LU\B X OCCUR CLAIMS -MADE 6012610696 /1/2015 /1/2016 EACH OCCURRENCE "5�,O AGGREGATE DED RETENTION D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 946560 9g6560 6/1/2014 6/1/2015 6/1/2015 6/1/2016 X WCSTATU- OTH- 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 / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins is named as Additional Insured. L:t City of Fort Collins P. 0. Box 580 Fort Collins, CO 80522-0000 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 Morris/DMORRI `- ACORD 25 (2010/05) (OTyt$tJ-ZUIU At UKLJ L ulcrumA i iuN- Hu ITgfns Ieaalveu. INS075 rnnlnne) n1 Th. Arnon ..me en,1 Innn vu roniefururl mvbc of Ar npn