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Home My WebLink About556645 SELECT ROOFING CONTRACTORS LLC - INSURANCE CERTIFICATE (6)SELEC-2 OP ID: KB ACORO DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01/09/2017 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 CONTACTNAME: Scott P. Runyan Renaissance Insurance Group PHONE 970-674-8825 FAX P O Box 478 s/c A. No. Extl: IA/C, No): 970-674-8826 101 E Main Street E-MAIL Windsor, CO 80550 ADDRESS: srunyan@reninsurance.com Scott P. Runyan INSURER(S) AFFORDING COVERAGE NAIC N INSURED Select Roofing COntractors,LLI Zack Stanevich 2614 S Timberline Rd #109-182 Fort Collins, CO 80525 INSURER A: Continental Casualty INSURERS: Continental Insurance Co. INSURER C: Pinnacol Assurance INSURER D: Columbia Casualty INSURER E: . INSURER F : r-nVFRAr,FR CFRTIFICATF NIIMRFIR 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 INSURANCE DDL UBR POLICY NUMBER MM DDY LTR /YYYYI JMMIDDfYYYYITLIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE n OCCUR X 6045589366 01/08/2017 01/08/2018 PREMISES Eaoccurrence $ 100,00 MED EXP (Any one person) $ 15,00 PERSONAL & ADV I NJ URY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY a JE � E LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY �6045589383 COMBINED SINGLE LIMIT Ea accident), $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO X 01/08/2017 01/08/2018 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 B EXCESS LIAB CLAIMS -MADE 6045589397 01/08/2017 01/08/2018 DED I X I RETENTION $ 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 4171398 03/01/2016 03/01/2017 XOTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 OFFICFR/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYE' $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below D Errors & Omissions 01/08/2017 01/08/2018 Per Claim 1,000,00 Including Poll. �6045574088 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) dclapp@fcgov.com; Certificate wording is subject to policy forms, conditions, definitions and exclusions. Project: Transfort Center reroof, 6750 Portner Rd Ft Collins CO. City of Fort Collins, its officers agents & emplo ees are included as additional insured with respect to General Liability and Auto Liability. ltla:4ll2Lh_\I3:19Jit13i 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. 300 LaPorte Ave Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD