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Home My WebLink AboutBOULDER ROOFING INC - INSURANCE CERTIFICATE (4)ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDNYYY) �� 3/8/2016 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 CONTACT NAME, Christine Walker, CISR,.CRIS Moody Insurance Agency, Inc. PHONE (303)824-6600 FAX A1C No: (303)370-0118 8055 East -Tufts Avenue E-MAIL ADDRESS: y christine.walker@mood ins.com Suite 1000 - INSURERS AFFORDING COVERAGE NAICB INSURERA:Plnnacol Assurance 41190 Denver CO 80237 INSURED INSURER B : Boulder Roofing, Inc. INSURERC: 3551 Pearl Street INSURER D: INSURER E : Ld Boulder CO 80301 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 wC RFVISIAN NIIMRFR- 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 LTR I TYPE OF INSURANCE ADDL iNsn SUBR wyn POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ JECT LOG GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ - $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S ANY AUTO ALL OWNED (7 SCHEDULED AUTOS (AUTOS BODILY INJURY Per aaident ( ) $ NON -OWNED HIRED AUTOS AUTOS •� .. PROPERTY DAMAGE Per accident $ Y UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED RETENTION$ S A WORKERS COMPENSATION EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A 2058510 4/1/2016 4/1/2017 X STATUTE ER STATUTE E.L. EACH ACCIDENT S 100,000 E.L. DISEASE- EA EMPLOYEd S 100,000 E.L. DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 80500 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 C Walker, CISR, CRIS/ C -o - V 19t1tl-ZU14 ACUHD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)