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Home My WebLink About124317 ADVANCED ROOFING TECHNOLOGIES LTD - INSURANCE CERTIFICATE (5)AC40R" ® CERTIFICATE OF LIABILITY INSURANCE DATE(3/2016 Y) 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 I CONTACT Mike S ' erven Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 INSURED Advanced Roofing Technologies LTD. 4496 Bents Drive Unit C (303) 824-6600 ( No): (303)370-0118 ..mike.sjerven@moodyins.com INSURERS AFFORDING COVERAGE NAIC A:Cincinnati Specialty Underwriters 13037 B:Natl Union Fire Ins Co of Pitt 19445 c:Westchester Surplus Lines Insurance 10172 Is Windsor CO 80550 I INSURERF: I I COVERAGES CERTIFICATE NLIMRFP-16-17 w/forms RFVIgInN 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP NYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X] OCCUR EACH OCCURRENCE S 11000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 MED EXP (Any one person) S 2,000 CSU0055744 3/4/2016 3/1/2017 PERSONAL& ADV INJURY $ 11000,000 Additional Insured staus GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JEC LOC GENERAL AGGREGATE $ 2,000,000 applies only to the extant provided in PRODUCTS-COMP/OPAGG S 2,000,000 Employee Benefits S 11000,000 OTHER form CSIA405 08-09 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) ANY AUTO S ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) P OPER-ZtDAMAGE NON -OWNED HIRED AUTOS AUTOS $ S I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ BE011573466 3/4/2016 3/1/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A PER OTH- 15TATUTE I PA S E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below $ E.L. DISEASE - POLICY LIMIT --- - $ C Pollution Liability G27908524001 3/l/2016 3/1/2017 Limit 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Roofing Contractor. Certificate Holder is included as Additional Insured with regards to the General Liability and Umbrella Liability Coverage when required by written contract. A Waiver of Subrogation in favor of the Additional Insured's applies with regards to the General Liability coverage when required by written contract. L,r-N I IrIL.A I t nULUrh GANGtLLA I ION City of Fort Collins Attn: Doug Clapp, Senior Buyer Purchasing Department 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. AUTHORIZED REPRESENTATIVE Mike Sj erven/DONBRI �.---- - 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I NS025 (201401)