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HomeMy WebLinkAbout399198 FRONT RANGE ROOFING SYSTEMS LLC - INSURANCE CERTIFICATE (9)7427/2017 (MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT Valerie Love, CIC, CISR NAME: FAX Flood and Peterson IA/CC,%Ex0• (97D)SD6-3215 A/C.No:(970)506-6865 PO Box 578 E-MAIL VLove@F1oodPeterson.com ADDRESS: Greeley, CO 80632 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:The Continental Insurance Company 35289 INSURED INSURERB:Continental Casualty Company 20443 Front Range Roofing Systems, LLC INSURERC:Pinnacol Assurance 41190 222 13th Ave INSURERD:National Fire Insurance Co 20478 Greeley, CO 80631 INSURER E:Ameri can Casualty Company INSURER F rnvconr_cc f`C0T1CIr`ATC AIIIMRGR•2017 - 2018 RFVICInN NIIMRFR- 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 ADDL SUBR POLICY EFF POLICY EXP I LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DDNYYY MM/DDNYYY $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �X 300,000 A CLAIMS -MADE OCCUR PREM SESOEaoccurrence $ MED EXP (Any one person) $ 10,000 6046127324 5/1/2017 5/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 ~, F_-7 P O POLICY LOC $ OTHER: AUTOMOBILE LIABILITY COEa acMBINED SINGLE LIMIT cident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO A ALL OWNED SCHEDULED 6046127310 5/1/2017 5/1/2018 BODILY INJURY (Per accident) $ AUTOS X X NON -OWNED $ PROPERTY DAMAGE Per accident HIJREDSAUTOS AUTOS - X I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAR CLAIMS -MADE CUE6049565482 5/1/2017 5/1/2018 DED I X 1 RETENTION$ 10,000 $ C WORKERS COMPENSATION 1946560 6/1/2016 6/1/2017 77 PER STATUTE ER AND EMPLOYERS' LIABILITY YIN PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 ,OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) N/A 6046127307 6/1/2017 5/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If YYes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Property/Inland Marine 6046449378 5/1/2017 5/1/2018 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as Additional Insured. !`COTICH'ATC W11 1111=0 rANrFI I ATInN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEDBEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVJRED IN P. 0. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE V Love, CIC, CISR/VLO U 1988-2014 AGUHU GUHNUHA I IUN. All rlgnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)