HomeMy WebLinkAboutHORIZON WEST BUILDERS - INSURANCE CERTIFICATE 2020-2021��
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ACORO � DATE (MM10�lYYYY�
�� CERTIFICATE OF LIABILtTY INSURANCE 3�2s�2ozo
THIS CERTIFICATE IS ISStJED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 7H� CER7IFICATE HOLDER. THIS
CERTlF�CA;f DOES NOT A�FIRMATkVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOitDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TWE ISSUING II�SURER(S), AUTFiOR¢ED
REPRESENTATIVE OR PItODUC�R, AND THE CERTiFICATE HOLUER.
IMPOi2�ANF: If the certificate holder is an ADDtTIONAL INSURED, the policy(fes} m�st have ADDITlONAL INSUREp provisions or be endorsed.
If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain poiicies may require an endorsement. A statement on
this certfficate does not confe� r{ghts to the certificate holder in Ifeu of such endorsement(s1.
PRODUCER
Mour�tain West Insurance - Engfewood
3575 S Sherman Street
Englawood, CO 80113
INSUR�D
F3orizon West Builders
3655 E 151 st Ave
Brighton, CO 80fi02-7787
762-1717
Pi
wsuReR F :
4/112020 I 4l1I2021
THIS IS TO GERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SUED TO TME INSURED NAMED ABOVE FOR THE POLICY PERIbD
INDICATED. NOiWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIDN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TNIS
CERTIFICATE MAY BE fSSUED OR MAY PERTAIN, THE IIVSURAMCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 5l1BJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF 5l1Cli POLICIES. LIMITS SHOWfV MAY HAV� e�EN REDUCED BY PAID CLAIM5.
TYP� OF INSURANCE
A X COMMERCIAL GENERAL UABIi1TY
CUUMS�uIADE � OCCUR
X Includes XCU
GEN'L AGGREGATE LIMIT APPUHS PER�
X POLICY ❑ j��r � lOC
OTHER:
A AUTOMOBILE LUIBILITY
X ANY AVTO
OWNED SCHE6t1LED
A11�05 ONLY AUTOS
X A��S ONLY X AUTO� ONLY
A X UMBRELLA LIAB X OCCUR
E7CCE53 LIAB CLA�MSfiAADE
►�
�
DEO RETENTION Z
WORK6R5 CpMPEN$ATION
AND EMPLOYERS' WABILITY Y 7 N
ANY PROPRIETBOERIPARTNERlEXECUTIVE —'—
�endalo�ry�n NHj �CLUdED'7 N I A
A Equipment
A Equipment
POLICY NUM8ER
M112020 I 41712021
a�r�ozo i ar�rzaz�
T62-1733
WlYf17S
E s 1�00�,01
� y 100,Oi
erson g 5.0�
VJi1RY a i,000,0i
ATE 3 2�Q�d'�I
rOP AGG 5 7,a0U,0�
S
LIMIT � '�,(;OO.O�
s,aoo,o�
G [i ►F'��Y� � � �i IG iPI+Y�i I
M412026 I 4l1l2021
7
Equip � i52,2
DESCRIPTION OF OPERA7iONS! LOCATIpNS! VEHICLE3 (ACORD 101, Atltlltlond Remarka $ehetlule, ma be ettachad M mora ap�ce Is requEred)
Certificate holder is additlonal insured wlth respect to general IEability and autorrsohi�e Ila6ility coverage.
The City of Ft Collins
Purchasing Departrreent
PO Box 580
Ft Callins, CO 80522-0580
SHOULD AhY OF TH� ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATkON DATE THEREOF, NOTICE WILi BE DELIVERED IN
ACCORDANCE 1AIITH THE POL.IGY PROVISIONS.
AUTHORQED REPRESENTATIVE
� �
ACORU 25 (2016103) O 1988-2015 ACORD CORRORATION. All rights reservei
The ACORD name and logo are registered marks of ACOFiO