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HomeMy WebLinkAboutCB SIGNATURE HOMES LLC - INSURANCE CERTIFICATE (2)CBSIGNA-01 SLUNDER ,d►� R© CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 11 /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 I CONTACT AME CT Shelly Lunder PIPS Insurance Group -PHONE -- FAX -- 4848 Thompson Parkway Suite 200 A/c, No, Et): (A/C, No):(970) 63M401 Johnstown, CO 80534-MAIL ghellvl�mvnfsinsurance_cem nnocce. INSURED CB Signature Homes, LLC 35333 County Rd 37 Eaton, CO 80615 Builders Insurance Com rance Group 11 nr)VFRAr_FR rcDTlrlr Arc ul 1KA—. _ _. _ ... . _... _ .. _..._�. .. rnL v IJI V 19 IYUIVIDCR: 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. ILTRLTR NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GLP011327406 EACH OCCURRENCE $ 3,000,000 pM TO RESE(EEa_�ence $ 100,000 MED EXP (Any one person) $ 5,000 — — — — PERSONAL_& ADV INJURY 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PECT RO' ❑ LOC J GENERAL AGGREGATE $ 3,0001000 PRODUCTS -COMP/OP AGG $ 3,000,000 COMBINED SINGLE LIMIT (Ea accident $ $ 1,000,000 B OTHER: AUTOMOBILE LIABILITY BODILY INJURY Perperson) $ ANY AUTO OWNED AUTOS ONLY X AUTOS X HIRED X NON-oWryED AUTOS ONLY AUTOS ONLY 51-445853-00 11/26/2018 11/26/2019 BODILY BODILY INJURY Per accident $ P�tOPERTY DAMAGE er acclent) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE -- -- EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under NIA 4156397 06/01/2018 06/01/2019 PER OTH- X__ �_;LTATUTE._ E.L.ACHACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I 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. - - - -- - 1iF11Y liCLLfi I 1 V IN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Ar`nDn 7e reneclne� V 19t;U-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD