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HomeMy WebLinkAboutHIGH CRAFT BUILDERS INC - INSURANCE CERTIFICATEOP ID: SKI CERTIFICATE OF LIABILITY INSURANCE DAT05128113 1 1 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 Front Range Insurance Group 1100 HaXton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT NAME: PHONE FAX INC, No Eat: ac No: E-MAIL ' ADDRESS: PRODUCER HIGHC-7 C STOMER ID p: INSURERS AFFORDING COVERAGE - NAIC k INSURED High Craft Builders, Inc 429 S. Howes St. Fort Collins, CO 80521 INSURER A:SecurdInsurance Companies 22543 INSURER8: Plnnacol Assurance 41190 INSURER C INSURER 0: 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 INSURANCE D a POLICY NUMBER MMDD/YYYY MML ICY EXP DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CP-003147606 03131113 03131114 EACH OCCURRENCE $ 1,000,00 DAMA E RENTE T D PREMISES (Eaoccurrence)$ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X EPLI GENERAL AGGREGATE $ 2,000,00 GENE AGGREGATE LIMIT APPLIES PER: RO LOG X POLICY PIFQT PRODUCTS - COMP/OP ASS $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS A3151657 A3151657 A3151657 03131113 03131113 03131113 03/31114 03/31114 03131/14 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ X X $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 003165898 03131113 03131/14 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS ' LIABILITY ,,/ N ANY PROPRIETOR/PARTNEMEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4066635 01/01/13 01/01/14 X WC STATU- OTH- IM E.L. EACH ACCIDENT $ 100,00 E. L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 100,00 A Property CP-003147606 03131113 03/31/14 BPP 78,46 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AHach ACORD 101, Additional Remarks, Schedule, If more space is, requlred) CERTIFICATE HOLDER CANCELLATION CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Utilities Department AUTHORIZED REPRESENTATIVE PO BOX 580 Fort Collins, CO 80522 (ry� G c c%1Zb� © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD