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HomeMy WebLinkAboutBIG HORN ROOFING INC - INSURANCE CERTIFICATE (7)�.---� BIGHORN-37 TACALLOWAY ACORO �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/16/2018 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 endorsement(s). CONTACT PRODUCER NAME: Wyoming Financial Insurance PHONE FAX 400 E 1st St, Ste 105 (A/C, No, Ext): (307) 473-3000 (A/C, No):(307) 265-3092 Casper, WY 82601 ADDRE : INSURED _ INSURERA:Allied Insurance Company of A INSIIRFRR.Nationwide Mutual Insurance C Big Horn Roofing Inc. INSURERC: 605 S Adams INSURER D : Laramie, WY 82070 INSURER E INSURER F: !MV A C KIHRAMMO R9=11ICIr1Nl MI IMRFR- vTHIS 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 T TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $ CLAIMS -MADE X I OCCUR X X ACP3018312104 09/01/2018 09/01/2019 DAMAGETOPREMIRENTEDaccurrence 100,000 MED EXP An one person)$ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident 1,000,000 $ BODILY INJURY Perperson) $ X ANY AUTO X X ACP3018312104 09/01/2018 09/01/2019 BODILY INJURY Peraccident $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -AWNED AUTOS ONLY AUTOS ONLY P 0PcERTY DAMAGE rer accident $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE X X ACP3018312104 09/01/2018 09/01/2019 AGGREGATE $ 5,000,000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE RIMEMBER EXCLUDED? (Mandatory in NH) A NIA ACP3008312104 STOP GAP 09/01/2018 09/01/2019 PTAT TE I X ERH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 1,000,000 $ If yes, describe under DESCRIPTION OF OPERA (IONS below I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) When required by written contract or agreement, additional insured and waiver of subrogation applies under the General and Auto Liability per forms AC7006 03/16 , CG7246 11/15 (ongoing and completed operations) and CG7323 12/16. Coverage is primary and non contributory perform CG7323 12/16 and AC7006 03/16. Copies of such forms are available upon request. Umbrella will follow form as respects additional insured and waiver of subrogation. 30 Day Notice of cancellation applies to General Liability, Auto and Umbrella. City of Fort Collins PO 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 -y ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD