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Home My WebLink AboutHARRIS HOMES INC DBA HARRIS CONSTRUCTORS - INSURANCE CERTIFICATEOP ID: RC '4�� o CERTIFICATE OF LIABILITY INSURANCE D05/1 /2014Y) os/1 s/201a 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 PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Tad Borrett CONTACT PHONE FAX Afc No Bat: INC. No): EIAAIL ADDRESS:PRODUCER CUSTOMER to p: HARRI-4 INSURERS) AFFORDING COVERAGE NAIC If INSURED Harris Homes, Inc. INSURERA: Mountain States Insurance Grp DBA Harris Constructors 3005 W 29th St#C P.O. Box 336751 Greeley, CO 80633 INSURERB: Pinnacol Assurance a1190 INSURERC: Builders Insurance Group INSURERD: National Union Fire Insurance INSURER E : Zurich -American Ins Co. 16535 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION 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. INSR LTR rypE OF INSURANCEADDL POLICY NUMBER POLICY EFF MM/DD/YYVV) POLICY EXP IMM/DDrYY,YI LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR GLP010802402 08/01/2013 08/01/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Ea oocuence $ 100,00 MED EXP (Any one person) S 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,0010 GENE AGGREGATE LIMIT APPLIES PER: 17 POLICY X PRO LOC PRODUCTS - COMP/OP AGO $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS N/A COMBINED SINGLE LIMIT IEa accident) $ BODILY INJURY (Per person) g BODILY INJURY (Par aMident) $ PROPERTY DAMAGE (PER ACCIDENT) $ $ D UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE BE014548002 08I01I2013 08I01I2014 EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,00 DEDUCTIBLE RETENTION $ g $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DE Ins,OF OPERATIONS below NIA 4115070 06/01/2014 06/01/2015 WC STATU- OTH- X I E.L. EACH ACCIDENT q 1,000,00 E. L. DISEASE -EA EMPLOYE E 1,000,00 E. L. DISEASE -POLICY LIMIT $ 1,000,00 A E Inland Marine Builders Risk CPP011857703 BRO5637188 O8/01/2013 06/01/2013 08/01/2014 06/01/2014 Leased eq 50,00 Bldr Risk 122,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) All Operations - All Locations. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 CITYFCI 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 4 ACORD 25 (2009/09) V IV15U-ZUUB ACORU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD