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HomeMy WebLinkAbout453145 INDEPENDENT ROOFING SPECIALISTS LLC - INSURANCE CERTIFICATE (3)INDEROO-01 PHILLIPSCI ,4CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 41%� 1 1 /5/2017 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 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 endorsement(s). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis of Colorado, Inc. c/o 26 Century Blvd (A/C, N , at): (877) 945-7378 ac, No):(888) 467-2378 P.O. Box 305191 AooRE s: certificates@willis.com Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Specialty Insurance Company 12537 INSURED Independent Roofing Specialists, LLC INSURER C : Pinnacol Attn: Jeremy Shull 4995 Locust St INSURER D : Commerce City, CO 80022 INSURER E : INSURER F : rn\/C0An9:Q rl=DTICIf ATC All IMRCD• RFVICIr1N NI IMRFR- 74 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER !POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GL-ATN-SF1730139 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PR MI Ea occurrence) 50,000 $ MED EXP (Any oneperson) $ 0 _ PERSONAL& ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY 17 PRO- ❑ LOC P1 JECT OTHER: I GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED ONLY AUOTOS VNED r BAS (18) 56290543 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE (per. er accident $ $ A UMBRELLA LIAB EXCESS LIAB X — OCCUR CLAIMS -MADE XS-BTN1733713 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 X 1-1 AGGREGATE $ 1,000,000 DED I X I RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED?DED?N!A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 096550 01/01/2017 01/01/2018 X PER OTH- TA T E.L. EACH ACCIDENT 1,000,000 $___ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins! AUTHORIZED REPRESENTATIVE P.O. Box 580 !Fort Collins. CO 80522 _ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD