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Home My WebLink About556645 SELECT ROOFING CONTRACTORS LLC - INSURANCE CERTIFICATE (5)SELEC-2 OP IDO ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY)08/2018 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 endorsements . PRODUCER 970-674-8825 CONTACT Scott P. Runyan Renaissance Insurance Group PHONE 970-674-8825 970-674-8826 P O BOX 478 (A/C, No, Ext): (A/C, No): 101 E Main Street E A . srunyan@reninsurance.com Windsor, CO 80550 Scott P. Runyan INSURERS AFFORDING COVERAGE NAIC# INSURER A: CNA INSURED Select Roofing ContractorS,LLC INSURER e : Plnnacol Assurance 41190 Zack Stanevich 2614 S Timberline Rd #105-182 INSURERC: Fort Collins, CO 80525 INSURER D : COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCEADDLSUBR; POLICY NUMBER POLICY EMMIDDIYYFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR y y 'PMT6045589366 01/08/2018 01/08/2019 EACH OCCURRENCE $ 1,000,000 $ 100,000 PDAMIAGE TO RENTED occurreES IEn MED EXP (Any oneperson) $ 15,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I AV] jEPT I 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 y y BAU6045589383 01/08/2018 01/08/2019 COMB INEDt SINGLE LIMIT $ 1,000,000 $ . $ $- BODILY INJURY Perperson) BODILY INJURY Per accident PROPERTY DAMAGE Per accdent A X UMBRELLA LIAB X OCCUR EXCESS LIAB '�~ CLAIMS -MADE CUE6045589397 01/08/2018 01/08/2019 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 AGGREGATE DED I X I RETENTION$ 10000i B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED N � (Mandatory in NH) If yes descr;be under DESCRIPTION OF OPERATIONS below N / A y 4171398 03/01/2017 03/01/2018 X PER WORTH - STATUTE1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 1,000,000 E.L. DISEASE - POLICY LIMIT 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. Protect: City Streets Building, 625 9th St., Fort Collins, CO 80525 SEE PAGE 2 City of Fort Collins P.O. Box 580 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HOLDER CODE SELEC-2 PAGE 2 NOTEPAD. INSURED'S NAME Select Roofing Contractors, LLC OP ID: KB Date 01/08/2018 Certificate holder and others, when required in a written contract with the Insured, is an Additional Insured regarding the General Liability and Auto Liability. General Liability is both for on -going and Completed Operations. Primary, Non -Contributory Wording applies to the General Liability and Auto Liability. Waiver of Subrogation applies to the General Liability, Auto Liability and Workers' Compensation. Umbrella is "Follow Form" of the underlying General Liability, Auto Liability and Employers Liability. All of the above only applies when required in a written contract with the Insured.