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Home My WebLink About157609 WESTMARK HOMES LLC - INSURANCE CERTIFICATEOP ID: KE CERTIFICATE OF LIABILITY INSURANCE DATE02/20D/YYYY) 1 2/20/13 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 endorsements . PRODUCER - - 970-223-1804 VolkBellProperty & Casualty 1100 Haxton Dr. uite #100 � Fort Collins, CO 80525 - - -' Steven G. Smith q CONTACT NAME: PHONE FAX AIC No Eat , AIC No): E-MAIL .. ADDRESS: PRODUCER WESTM-1 CU ER ID p: INSURER $ AFFORDING COVERAGE NAIC p INSURED Westmark Homes LLC Rick Myers PO Box 272759 Fort Collins, CO 80527 INSURERA:Builders Insurance Group INSURER 8: Pinnacol Assurance 41190 INSURER C: INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NIIMRER: 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 R TYPE OF INSURANCE AODLPOLICY POLICY NUMBER MMDDNYYY MMIDDIYYYY LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY DVUMS-MADE 1XI OCCUR GLP009905502 03101113 -' 03I01114 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 - GENERAL AGGREGATE $ 2,000,00 GEN' L AGGREGATE LIMIT APPLIES PER X I POLICY PRO LOC PRODUCTS - COMP/OP AGG $--2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICEMMEMBER EXCLUDED9 ❑ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 4103840 05/01/12 05/01113 X WC STATU- OTH- E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEEI $ 100,00 EL DISEASE -POLICY LIMIT I $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHach ACORD 101, Addidonal Remarks Schedule, 1} more apace is required) City of Fort Collins is named as additional insured. CERTIFICATE HOLDER CANCELLATION CITYFCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD