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Home My WebLink About124317 ADVANCED ROOFING TECHNOLOGIES - INSURANCE CERTIFICATE (6)/ ACOR" CERTIFICATE OF LIABILITY INSURANCE 11-m (MM/DD/YYYY) 03/24/2018 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 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 CONTACT Cathy Baker NAME: PHCON(303) 824-6600 AINEzt : FAX (303) 370-0118 AIC No E-MAIL Cathy. baker@moodyins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURERA: Cincinnati Specialty Underwriters Ins Co 13037 INSURED Advanced Roofing Technologies LTD. 4555 Highland Meadows Pkwy Windsor CO 80550 INSURER B : Westfield Group 24112 INSURER C : INSURER D : INSURER E : INSURER F : CnVFRAr FS CFRTIFICATF NIIMRFR- 18-19 all lines REVISION NUMBER: 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. 1CY L7R OF INSURANCE INSD VD Vivo POLICY NUMBER EFF MWDDY/YYYY EXP MM/D IDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x OCCUR CSU0112185 03/01/2018 03/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE100,000 PREMISES Ea occurrence S MED EXP (Any one person) $ 2,000 X $10,000 per occ ded PERSONAL s ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � ECOT LOC OTHER: GENERAL AGGREGATE 5 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY AUTOS ONLY X TRA8971204 03/01/2018 03/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accdent $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CSU0112187 over GLOnly 03/01/2018 03/01/2019 EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 DIED I I RETENTION 5 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT 5 E.L. DISEASE - EA EMPLOYEE 5 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured per policy forms and conditions. Waiver of Subrogation Applies. r+coTrnnwrc uni nco (`ANrFI I ATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD