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HomeMy WebLinkAbout556645 SELECT ROOFING CONTRACTORS LLC - INSURANCE CERTIFICATE (3)___*N SELEC-2 OP ID- KR .44cOR0 CERTIFICATE OF LIABILITY INSURANCE PAOT, (MM//08/2018 Y) `--�'018 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 endorsements . PRODUCER 970-674-8825 NAMEACT Scott P. Runyan Renaissance Insurance Group PHONE 970-674-8825 FAX 970-674-8826 P O Box 478 A/C, No, EA): ac, No): 101 E Main Street p DRE : Srunyan@reninsurance.COm Windsor, CO 80550 Scott P. Runvan INSURE S AFFORDING COVERAGE NAIC # INSURED Select Roofing Contractors,LLC Zack Stanevich 2614 S Timberline Rd #105-182 Fort Collins, CO 80525 INSURER A: C NA INSURER B : Plnnacol Assurance INSURER E : INSURER F : (`( VP"AnPQ (`FRTILIr:ATF= RII IRRr2FR- P1=`JMIr1tJ "I IRARI=P- 190 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FAV I OCCUR PMT6045589366 01/08/2018 01/08/2019 EACH OCCURRENCE $ 1,000,000 PREMI ETORENTED $ 100,000 ME EXP (Any oneperson) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT ] LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(per. BAU6045589383 01/08/2018 01/08/2019 CO agINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) _ $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUE6045589397 01/08/2018 01/08/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 10000 B WORKERS COMPENSATION AND ROPRIEERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 7 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4171398 03/01/2017 03/01/2018 X PERTUTE OTH- ! E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - FA EMPLOYEE E.L DISEASE -POLICY LIMIT $ 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate wording is subject to policy forms, conditions, definitions and exclusions. City of Fort Collins 215 N. Mason Street Fort Collins, CO 80524 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD