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HomeMy WebLinkAbout130563 HOME BUILDERS SERVICES INC - INSURANCE CERTIFICATE (2)SAFET-9 OP ID: DP A�ORO CERTIFICATE OF LIABILITY INSURANCE D12123/2013Y) 12l23l20t 3 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 PRODUCER Phone: 970-356-8030 NXM"I Rich & Cartmill Ins of CO Fax: 970-356-8032 of _ PHONE , Eap: _ FAX_ Nol: -------- -- -- 8213 W. 20th Street Greeley, CO 80634 Michael J Schmitt CIO EI_ D : - _ _ --T__INSURER(S) AFFORDING COVERAGE _ NAIC0 ._ INSURERA Twin City Fire Insurance Co INSURED Safety Rall Of Colorado Inc; �1 1- Custom Fence & Supply Inc;- \y.e 6 %_*Home Builders Services Inc; INSURER B: DepOSItOB IrISUfanCe INSURER C _Pinnacol Assurance INSURER D: Custom Leasing Inc 3031 Highway 119 Longmont, CO 80504 INSURER E: - -- — - NSURERF: COVFRAf FS C.FRTIFICCTF NIIMRFR- RFVISION NIIMRFR- 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. Amilluff INSR LR TYPE OF INSURANCE POLICY NUMBER , MMIUD/YYYY M DDIYYXYY LIMITS T GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A XCOMMERCIAL GENERAL LIABILITY X 34 ECS OA8354 01101/2014 01101/2015 PREMISES DAMAGE TO RENTED MIES Elu i 300,00 ____ I CLAIMS-MADE [X OCCUR NEED EXP (Any one ii r ) S 10,000. �� PERSONAL S ADV INJURY 3 1,000,00 . X Contractual Limb GENERAL AGGREGATE S 2,000,00 GENT AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG S 2 000,00 X POLICY JFDTPRO- LOC Emp Ben. _ _ $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT eacmdom) - 1,000,00 ____ _ tS B X ANY AUTO 7534734203 01101/2014 01101/2015 BODILY INJURY (PW WM) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(PW amitlel0 S PROPERTY DAMAGES Peraccl enl NON -OWNED HIRED AUTOS AUTOS S UMBRELLA llAS OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS UPS CLAIMS -MADE DEO I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C ANY PROPRIETORIPARTNER/EXECUTIVE YIN 724 01101/2014 01/01/2015 X WC STATU- DER. - E.LEACH ACCIDENT $ 600,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) NIA --- E.L. DISEASE -FA EMPLOYEES -'-- ----' 500, If Yes. tlescribe antler DESCRIPTION OF OPERATIONS Below E L. DISEASE -POLICY LIMIT S 500100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKaeN ACORD 101, Addltl anal Remarks Schedule, It more space is requlr,d) City of Fort Collins is named as additional insured as pertains to the general liability policy, per written contract. CITFCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Michael J Schmitt CIC U 19UU-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (201W05) The ACORD name and logo are registered marks of ACORD