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HomeMy WebLinkAboutGHK BUILDERS - INSURANCE CERTIFICATEACORDTM 08/21/DD/YY) CERTIFICATE OF LIABILITY INSURANCE T DATE(M106 PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 131 East Eisenhower Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Loveland, CO 80537 _ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW._ (970)663-5404 INSURERS AFFORDING COVERAGE } NAIC # _ _INsuRERo, UNITE_ D FIRE GROUP � INSURED GHK BUILIDERS, INC I INSURER B - 752 BROOKSIDE DR INSURERC: Longmont, CO 80501 INSURER D INSURER E COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER LTR IN RD POLICY EFFECTIVE POLICY EXPIRATION I LIMITS DATE MMIDD DATE MWDDIYY GENERAL LIABILITY EACH OCCURRENCE _ __ 1,000,000 [�COMMERCIAL GENERAL LIABILITY 60327601 08/21/06 08/21/07 RENTEDDAMAGE TO PREMIS 100,000 MED EXP (AnEsLEaoccurence) one person) 5,000 __. ❑ CLAIMS MADE ❑d OCCUR A ❑ -� L] PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE _ _ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: RODUCTS COMPIOP AGG 2 000,000 J❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY B [, ❑ SCHEDULED AUTOS ! (Per_ person)- Ir [ HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) LJ PROPERTY DAMAGE -------- - - -- (Per accident) - -- - ------ __. --- I LIABILITY GARAGEL I � AUTO ONLY EA ACCIDENT i C ❑ ❑ AUTO OTHER THAN EA ACC L, -------__. ___- __.— __._ _--_.. _.. _------- ------ EXCESS LIABILITY I AUTO ONLY ---..._ _------- - ---- _. ___----AGG----- EACH OCCURRENCE ------- ❑ OCCUR ❑ CLAIMS MADE IAGGREGATE D DEDUCTIBLE --- - -- _-_-- - ❑ RETENTION WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS' LIABILITY T RY LIMITS ER E ANY PROPRIETOR! PARTNER! EXECUTIVE �,'I E.L. EACH ACCIDENT OFFICER / MEMBER EXCLUDED? - -- ----- E L DISEASE - EA EMPLOYEE - - - -1 If yes, describe under SPECIAL PROVISIONS below ❑ L. DISEASE - POLICY LIMIT ail IFOTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO PO BOX 580 THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Fort Collins, CO 80522 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. APZIJQR—� { IZED REPRESENTATIVE i ACORD 25 (2001/Vol `% © ACORD CORPORATION 1988