The URL can be used to link to this page

Home My WebLink AboutBREWEN BUILDING DESIGN - INSURANCE CERTIFICATEClion4il• zrcar ....... DtlKtWLfUI CERTIFICATE ®F LIABILITY INSURANCE ZE(mmI DNYYY) 08/26/08 ns, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ff635-423l ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 82003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Brewen Building B Design, LLC INSURER A: Continental Western Insurance COmpan 10804 INSURER 8: 200 Galena Court INSURERC: Belivue,CO 80512 INSURER D: NSURER E: COVFRAt`.FS 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. LTR NSR1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIODIYV POLICY EXPIRATION DATE MMIDDNV LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR PD Ded:500 CNP264212122 07/22/08 07/22/09 EACH OCCURRENCE $1 000 000 PREMGET BR ocTE en a $250OOO $S 000 MED EXP (Any one person) X PERSONAL & ACV INJURY $1 00O 000 GENERAL AGGREGATE $2 000 000 GEYL AGGREGATE LIMIT APPLIES PER POLICY PRCT O- LOC JE PRODUCTS - COMP/OPAGG $2000000 LIABILITY UTO NED AUTOSULED AUTOS AUTOSWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ JAUTOMOBILE BODILY INJURY (Peraooident) $ PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: qGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYFRS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS bebo OTHER WCSTATU- OTH- T RV LIMIT ER E.L. EACH ACCIDENT 5 E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CFRTICIPATC Ynr n.. City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACCRn9emnd/OR1e _r. .. .u.......,,.. _.. ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE 3 zfrbI IS DKLAW u Awrtu CURPURAIION Ig88 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. VI c 0110uuo-iu11viouUOUO