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