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Home My WebLink AboutBAESSLER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (2)OF IU: KH ACO/?O CERTIFICATE OF LIABILITY INSURANCE O0111071201ATE YV) ovo712o1a 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 AL the terms and conditions of the policy, certain PRODUCER PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Johnstown. CO 80534 INSURED Baessler Construction Co, Inc. Baessler Homes, LLLP Trinity Assets, Inc 3505 Holman Court Greeley, CO 80631 1L INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to may require an endorsement. A statement on this certificate does not confer rights to the States Insurance Assurance rnveRAI_CC CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE V THIS IS TO CERTIFY THAT THE POLICIES 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 TR TYPE OF INSURANCE POLICY NUMBI'vR P LICY EFF MMIDDIYYYY POLICY EXP MWDD/YVYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 B X COMMERCIAL GENERAL UABILITY PKG011756602 01101120141i 0110112015 PREMI ES IEe.1rOrm S 100,0 00 MED EXP (Any one Person) $ 5,0 00 CI AIMS -MADE a OCCUR PERSONAL S ADV INJURY S 1,000,0 GENERAL AGGREGATE S 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0 $ X POLICY F1 PRa LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,0 (Ea l) A ANY AUTO SAP0213460 03/28/2013 03/2612014 X BODILY INJURY (Per person) S ALL OWNED AUTOS BODILY INJURY (Pat aeddent) $ PROPERTY DAMAGE $ SCHEDULED AUTOS X HIRED AUTOS (PERACCIDENT) X $ NON -OWNED AUTOS S X UMBRELLALMB X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 ISBU01412619 EXCESS WB CLAIMB-MADE 01N1/2014 01/01/2015 DEDUCTIBLE $ - RETENTION $ 0 S WORKERS COMPENSATION X WCSTATU- OTH- C AND EMPLOYERS' LIABNTY ANY PROPRIETORMARTNER/EJ(ECUTNEIMY❑ 4OS2202 01/O1I2014 01/01/2016 S 10Q00 E.L. EACH ACCIDENT E.L DISEASE -EA EMPLOYE OFFICEREMBER EXCLUDED'! (Mandatory In NH) MIA S 100,00 E.L. DISEASE -POLICY LIMIT If yes describe under DESCRIPTION OF OPERATIONS below S 500,00 A Inland Marine CPP0213450 03128/2013 03/28/2014 Leased eq 25,00 D Builders Risk -CO BR71143285 06/0112013 0610112014 Structure 3,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Ramarka Sehadula, If man space Ie rsqulred) A11 Operations - All Locations. R CANCELLATION CERTIFICATE HOLDE CITYFT3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. BOX 580 AUTHORIZED REPRESENTATIVE Ft. Collins„ CO 80522-0585 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD