Loading...
HomeMy WebLinkAboutCONSTRUCTION CONCEPTS - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MMIDD/YYYY) CONST-1 07 30 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4848 Thompson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC# INSURER A. EMC Insurance C INsuRERe rinnaCOI Assurance Construction Concepts Inc. -- Marc & Kim Dewey INSURER C 14125 Mead Street INSURER D' Longmont CO 80504 -- — - INSURER E. COVFRAnFS 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INS LTR D' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDDIYY POLICY EXPIRATI N DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A XTCOMMERCIALGENERA LLIABILITY 3X0-95-53 08/24/07 08/24/08 PREMISES (Eaoccurence) E100000 VIED EXP(Any one person) $ 5000 CLAIMS MADE IxOCCUR PERSONAL aADVINJURY a1000000 L Blanket Add'l Ins CG7482 GENERAL AGGREGATE _ f 2000000 Contractual Liabi CG 00 01 10 01 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OPAGG f 2000000 POLICY X PRO- ECT OC A AUTOMOBILE LIABILITY ANY AUTO 3XO-95-53 08/24/07 08/24/08 COMBINED SINGLE LIMIT (Ea accident) ElOOOOOO BODILY INJURY (Per person) III ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per acodent) f HIRED AUTOS NONOWNEDAUTOS X PROPERTY DAMAGE (Per accident) f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E EA ACC THAN IS I ANY AUTO E AUTO ON AUTO ONLY AGG EXCESWUMBRELLA LIABILITY EACH OCCURRENCE f2,000,000 A X OCCUR ElCLAIMSMADE 3XO-95-53 08/24/07 08/24/08 AGGREGATE E2,000,000 f f DEDUCTIBLE X RETENTION E 10, 000 E WORKERS COMPENSATION ANO X TORV LIMITS X ER B EMPLOYERS' IETORPARLIABILITY ANY PROPRIETOR/ EXCLUDED' � OFFICERIMEMBER EXCLUDED 4031745 07/01/07 07/01/08 EL EACHACCIDENT f 1000000 EL DISEASE - EA EMPLOYEES 1000000 If yes, describe under SPECIAL PROVISIONS below DAPOELICYLIMIT S160D000 OTHER A Property Section 3XO-95-53 08/24/07 08/24/08 Leased & 200,000 A Equipment Floate RC ON LEASED & RENT D Rented DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Bobcat Ridge House Rehabilitation & Primose Art Studio Remodel CERTIFICATE HOLDER CANCELLATION FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N. Mason Street REPRESENTATIVES. A L,c Ft. Collins, CO 80524 ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25 f200VOEn