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Home My WebLink AboutCROSS CREEK BUILDERS LLC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE LM DATE22/2014 12/22/2014 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 CONTANAME, Renee McReynolds Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. PHONE g70.679.7344 866.425.6180 AIC Est : (AR; , No : I ADDRESS: renee-mcreynolds@leavltt.com Suite 100 INSURER(S) AFFORDING COVERAGE NAIC0 Loveland, CO 80538 INSURER A: International Co of Hannover R86486 INSURED Cross Creek Builders, LLC INSURERB: Cincinnati Insurance Co 10677 7380 Greendale Rd INSURERC: Windsor, CO 8OSSO INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 15-16 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYY)Y MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X incl Blkt WOS IG011002430-0 ADDITIONAL INSURED FORM INCL ONGOING AND COMPLETED OPERATIONS 01/01/2015 01/01/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL 1, ADV INJURY $ 1,000,00 X incl Blkt Addl Ins GENERAL AGGREGATE $ 2,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT PRODUCTS AGO $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCTOS HEDULED AUTOS AU HIRED AUTOS NON -OWNED AUTOS Ea bIaNtint $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ UMBRELLA LIAR EXCESS LIM OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOP/PARTNEPIEXECUTIVrT—I OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) IIy describe under DYSCRIFTION OF OPERATIONS below NIA WSTATU TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B Builders' Risk - uarterly Reporting ENP023754 03/0612014 03/15/2015 $1,000,000 limit per structure $50,000 storage/transit limits $5,000 deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remaft Schedule, If more apace is required) City of Fort Collins P 0 Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE w All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD