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HomeMy WebLinkAboutSOUTH HARMONY LL C CHATEAU CUSTOMER BUILDERS - INSURANCE CERTIFICATEClient#- 22R30 enl ITU A D ACORD.,, CERTIFICATE OF LIABILITY INSURANCE 06/18108°'YY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, ------ Denver, CO 80202 _......._.. _.. 303 534.4567 INSURERS AFFORDING COVERAGE INSURED INSURER A Everest Indemnity Insurance Co (*) South Harmony LLC — -- --- ---- ---- % Chateau Custom Builders, Inc. INSURER B 8101 E. Prentice Ave., #815 INSURER C: INSURER D: -- Englewood, CO 80111 INSURER E: "int'I E&S Insurance Brokers Gov NDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.91SSUED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE D ORMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CSUCHPOLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYV POLICY EXPIRATIONLTR DATE MMID Y LIMITA GENERAL LIABILITY 5000000281031 06/27/03 06/27/09 EACHOCCURRENCE_X COMM. ERCIAL GENER�AL, LIABILITY FIRE DAMAGE(Any one fire) CLAIMSMADE �lOCCUR MED EXP (Any one person_) BI/PD Ded 100000 -- _X PERSONAL&ADVINJURY GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMITAPPLIESPER PRODUCTS -COMP/OPAGG Q 000�000 POLICY PRO- JECT LOC --- AUTOMOBILE LIABILITY SINGLE LIMIT 5 ANY AUTO (Eor deINEDl ALL OWNED AUTOS BODILY INJURY $ _ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NONAWNED AUTOS (Per accident) PROPERTY DAMAGE $ "'— — (Perace'dent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S - ANY AUTO_- AUTO ONLY: ASS 5 EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE § DEDUCTIBLE RETENTION § $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY HITS EL EACH ACCIDENT S E.L. D ISEASE -EA EMPL OYES _ S E.L. DISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHIC LESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Named Insured includes Chateau Custom Builders Inc. City of Fort Collins 281 N. College Ave PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30..-.—DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TOD0 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS RE R,ITS AGENTS OR REPRESENTATIVE 1-MG V AUUMV I IJKYUKA I IUN lBtlU 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. ACORD25•S(7/97)2 of 2 #M386094