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HomeMy WebLinkAboutBuildings By Design, LLC - Insurance Certificate 2025 A`ZO CERTIFICATE OF LIABILITY INSURANCE FDATEMM/D025YYY) 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 NAME;C Scott Anderson, CIC CRS Insurance Brokerage PHONE- - FAx ---- 9780 S Meridian Blvd Suite 400 , 303-996-7833 A/c No:303-757-7719 Englewood CO 80112 A DAIL 9: sanderson@crsdenver.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Pinnacol Assurance 41190 INSURED BUILD-6 INSURER B: Employers Mutual Casualty Co. 21415 Buildings By Design, LLC. INsuRERc:Travelers Prop Casual of AM 25674 515 Industrial Park Road Brush CO 80723 _INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1934971213 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. TYPE OF INSURANCE N D ,WVD I POLICY EFF POLICY EXP ILTR IN WVD! POLICY NUMBER MM/DD/YYY MM/DD/YYYY 1 LIMITS B X ! COMMERCIAL GENERAL LIABILITY Y 6X52392 2/10/2025 1 2/10/2026 1 EACH OCCURRENCE $1.000,000 TO RENTED CLAIMS-MADE 'I X OCCUR PREMISES(Ea occurrence) $500,000 _ MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ GENERAL AGGREGATE $3,000,000 _ X-I •.i F----- POLICY1 X JECT LOG PRODUCTS-COMP/OPAGG $3,000,000 j OTHER: $ B AUTOMOBILE LIABILITY Y 6X52392 2/10/2025 2/10/2026 COMBINED SINGLE LIMIT $1,000,000 Ea-_academ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY 7 A BODILY INJURY(Per accident) $ UTOS X ' HIRED X NON-OWNED i PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY CPer accident $ - --- I li ! Broadened Pollution $Included e X UMBRELLA UAB X OCCUR I 6X52392 2/1012025 1 2/10/2026 EACH OCCURRENCE $10.000,000 EXCESS — CLAIMS AGGREGATE $10,000,000 DED RETENTION$ A WORKERS COMPENSATION 4073732 10/1/2024 i 10/1/2025 IX 1 STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR,'PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? a N/A! E.L.EACH ACCIDENT $1,000,000_ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 II yes.describe under ! ---- DESCRIPTION OF OPERATIONS,below E.L.DISEASE-POLICY LIMIT $1,000,000 C !Inland Marine 660A8555401 2/10/2025 2/10/2026 1 Rent/Leased 100,000 EqulpmenVACV/Special i I Deductible 1,000 i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The City of Fort Collins,its officers,agents and employees included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. CERTIFICATE HOLDER CANCELLATION 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 Financial Services Purchasing Division 215 N Mason Street2nd Floor AUTHORIZED REPRESENTATIVE Ft. Collins CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1655: 2 ` of 2 I I