Loading...
HomeMy WebLinkAbout556645 SELECT ROOFING CONTRACTORS LLC - INSURANCE CERTIFICATE (7)SELEC-2 OP ID: KB Ili- CERTIFICATE OF LIABILITY INSURANCE �/ FDATE /09/2017 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 Renaissance Insurance Group P 0 Box 478 101 E Main Street Windsor, Windsor, CO 80550 CONTACT Scott P. Runyan PHONE FAX ac No E,d :970-674-8825 A/c No): 970-674-8826 SS: srunyanl@reninsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Scott P. Runyan INSURER A: Continental Casualty INSURED Select Roofing Contractors,LLC INSURER 13: Continental Insurance Co. Zack Stanevich 2614 S Timberline Rd #109-182 INSURER C: Pinnacol Assurance INSURER D: Columbia Casualty Fort Collins, CO 80525 INSURER E : INSURER F : 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. ILICYEXP LTR TYPE OF INSURANCE IN DL WVD POLICY NUMBER MM DDY/YYYY MEFF M/DDfYYW LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE I OCCUR 6045589366 01/08/2017 01/08/2018 PREMISES Eaoccurrence $ 100,00 MED EXP (Any one person) $ 15,00 PERSONAL & ADV INJURY $ 1,000,00 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 GEML POLICY a PRO- JECT F7 LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER. AUTOMOBILE LIABILITY EOMaBINeD,SINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ B X ANY AUTO 6045589383 01/08/2017 01/08/2018 1 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 B EXCESS LIAB CLAIMS -MADE 6045589397 01/08/2017 01/08/2018 AGGREGATE $ 5,000,00 DED I X I RETENTION $ 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatoryin NH) N / A 4171398 03/01/2016 03/01/2017 X PER TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 f � es, describe urdcr DESCRIPTION OF OPERATIONS below $ 1,000,001 E.L. DISEASE - POLICY LIMIT D Errors & Omissions 6045574088 01/0102017 01/0102018 Per Claim 1,000,00 Including Poll. Aggregate 2,000,000 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. CERTIFICATE HOLDER CANCELLATION 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD