HomeMy WebLinkAboutCHATEAU CUSTOM BUILDERS - INSURANCE CERTIFICATEA-COR
D° CERTIFICATE OF LIABILITY INSURANCE n^" E^^^^°D YYY)
__. _.. __1 06I17/2008
PRODUCUR
PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW_
_... _. INSURERS AFFORDING COVERAGE NAIC#
INSURLO 1 INSURFRn pINNACOL ASSURANCE 41190
CHATEAU CUSTOM BUILDERS INC _. .... _- ...
8101 E. PRENTICE SUITE 815 INSuRLRB _
GREENWOOD VILLAGE, CO80111 INSURIRO
INSURE RO --
NSURERI
COVERAGES
1111, POLICIES 01: INSURANCE LISTED BI 1 OW I IAVL BLI-N ISSUED TO THL INSURLD NAMED ABOVIFOR II II POLICY PERIOD INDICAIF_D. NOTWITHSIANDNE
ANY REQUIREMENT, TERM OR CONDITION OF ANY CON IRACT OR OTHER DOCUMMENT WII I RESPECT TO WHICH 1I11S CER I IF ICA IF MAY BE ISSUED OR
MAY PERTAIN, IHE INSURANCE AFFORDED BY IHE POLICIES DESCRIBED HEREIN IS SUBJECT TO AI_L THE IFIRMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NOR nOBL POI.ICYEFrLCRVE I POLICY EXPIRATION ... .... ...
ENERAL LIABILITY EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
) CLAIMS MADE OCCUR PREMISES
GEN L AGGREGAT1IE LIMIT APPLICRS PER
GENE RALAGGREGATC
La
POLICY PROJEOTu IOC
PRODUCTS COMP/OP AGE
AUTOMOBILE LIABILITY
COMBINED SINGLELIMIT
ANYANTO
(Ea_A_c_cilent) _
ALL OWNED AUTOSI
BODILY INJURY
SCHEDULED AUTOS
(pet person)
HIREDAUTOS-
BODILY INJURY
NON OWNED AUTOS
(Pel accitlenl)
PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY
ANY AUTO OTHER '(I IAN
AUTO ONLY
OCCUR I I CLAIMSMADE
1 DEDUCTIBLE
RETENTION $ -
----
WORKERSCOMPENSAPONAND �WC STATU (OTHER
A EMPLOYER'S LIABILITY t
ANY PROPRIETOWPARTNEITEXLCUTIVE 3317901 05/01/2008 05/01/2009 TORYLIMITS _...
E.L EACH ACCIDENT
OFFICEIOMEMBER EXCLUDED'
Ifyes,please tlascnbeunder SPECIAL PROVISIONS below C L DISEASE EA EMPLOYEE
El DISEASE - POTICY LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER----
--""""- ----
CANCELLATION
10790g0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
The City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
281 North College Ave
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins CO 80524
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE -
Kelsey Caldwell
ACORD 25(2001108) _ ( Underwriter ACORD CORPORATION 1988
CERTIFICATE HOLDER COPY
The City of Fort Collins
281 North College Ave
Foil Collins CO 80524
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.