The URL can be used to link to this page

Home My WebLink About127811 EVERITT ENTERPRISES INC - INSURANCE CERTIFICATEClienttt- 25030 EVEEN ACORD. CERTIFICATE OF LIABILITY INSURANCE F D1TE(MWD011YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME: Dana M. Stewart PHONE 970 266 7149 FAX 970 506 6845 A/C No Exl : A/C, No iDV Ess: Dana.Stewart@floodandpeterson.com CUSTOMER ID #: EVEEN INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Indemnity Company 25658 Everitt Enterprises, Inc. 3003 E Harmony Road #400 Fort Collins, CO 80528 INSURERS, Charter Oak Fire Insurance Co 25615 INSURER CFireman's Fund Insurance, Co. 21873 INSURER D: Pinnacol Assurance INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF DDL N R UBR AnIO POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MWDD/YYVV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR Y630859G4866- IND12 1/01/2012 01/01/2012 EACH OCCURRENCE $1 000000 PREMISES Ea ccorrence S100,000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $10,000,000 GEHL AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC ECT 1-1B PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS Drive Other Car Y81085BG3298- COF12 1/01/2012 01/01/2013 COMBINED l)SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) 5 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ X $ C X UMBRELLA LIAS EXCESS LAB OCCUR CLAIMS -MADE SSE48569354 1/01/2012 01/01/2013 EACH OCCURRENCE $10000000 AGGREGATE $10 OOO 000 DEDUCTIBLE RETENTION 0 $ X $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY OFFICEWMEMBER EXCLUDED? 71 (Mandatory in NH) It yes, describe .,our DESCRIPTION OF OPERATIONS below WA 3148152 1/01/2012 01/01/201 X WcsTnru orH E.L. EACH ACCIDENT s500,000 E.L. DISEASE- EA EMPLOYEEI s500,000 E.L. DISEASE-POUCVLIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD lot, Additional Remarks Schedule, if more space is required) Re: KEM Homes City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S665420/M665404 DXS