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HomeMy WebLinkAboutCB SIGNATURE HOMES LLC - INSURANCE CERTIFICATECBSIGNA-01 SLUNDEI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/19/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT Shelly Lunder PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 1jbmDAR&$s: ( N°, EM) jA c, N°):(970) 635-9401 Johnstown, CO 80534 shellyl@mypfsinsurance.com INSURED CB Signature Homes, LLC 35333 County Rd 37 Eaton, CO 80615 INSURER (SAFFORDING COVERAGE_ INSURER A: American Builders Insurance Ct INSURER a _Continental_Western Group INSURER C : Plnnacol Assurance CO MM110In4I kill IMQCG- NAIC # 1190 v, THISIS 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS LTR MMI ! D A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE �� OCCUR X !GLP011327406 01/03/2018 01/03/2019 DAMAGE TO RENTED PREMISE-$ (Ea occurrence MED EXP (Any one person) 100,000 $ $ 5,000 - -- — PERSONAL 8 ADV INJURY $ 3,000,000 3,000,000 $ GGEEN'L X - -- AGGREGATE LIMIT APPLIES PER: POLICY n jpeT I I LOC - -- GENERAL AGGREGATE PRODUCTS - COMP/OPAGG _$-__..___.__ 3'���'��� $ OTHER: i B AUTOMOBILE LIABILITY ED E_a_acccdent; INGLE LIMIT 1,000,000 X_ ANY AUTO ICPA3182146-21 11/26/2018 11/26/2019 BODILY INJURY (Perperson_ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY i I BODILY INJURY Per accident $ _ $ - -- PjieOPPEER DAMAGE r UMBRELLA LIAB OCCUR EACH OCCURRENCE , $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DIED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 4156397 06/01/2018 X IPER I OTH- _ STATUTE_ __ IER_ 06/01/2019 E.L. EACH ACCIDENT _ 100,000 $ _ QFFICER/MEMBER EXCLUDED. IM ' andatory in NH) If yes, describe under (DESCRIPTION OF OPERATIONS below N / A I E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 100,000 S _- _ 500,000 $ I I i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. FE City of Fort Collins PO 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD