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HomeMy WebLinkAboutBUILDINGS BY DESIGN LLC - INSURANCE CERTIFICATE (2)A4 "R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM!D1iYYYYY) 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 Commercial Risk Solutions NAME: Scott Anderson, CIC _ 6600 E Hampden Ave Ste 200 PHONE . 303-996-7833 F No): 303-757-7719 Denver CO ADDRESS: sandersonO-crsdenver.com INSURER(S) AFFORDING COVERAGE I NAIC# INSURER A: Westfield Insurance 24112 INSURED BUILD-6 INSURER B;Plnnacol Assurance — 41190 Buildings By Design, LLC. - 18163 County Road 26 INSURERC: Brush CO 80723 INSURER 0: INSURER E COVERAGES CFRTIFICATF NI IMRFR• IAQ3Q59RR9 D1ZVICIr11J NIIMRCD- 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. IN SR _.._._._._-----------r- -.. _.... __._...___.--__. A��L-(SUS LTR TYPE OF INSURANCE wVIDPOLICY NUMBER .-r----._----_ POLICY EFF POLICY FRCP MMIDDIYYYY M I D/ YYY LIMITS A X COMMERCIAL GENERAL LIABILITY — —_—, CLAIMS -MADE X OCCUR _ Y I TRA3658080 2/10;2019 1 2/10/2020 1 EACH OCCURRENCE rtlAT1ACE78 Fif NTEO PR MI$F$.j p_g999_rran $1.000,000__ $ 500,000 ` r MED FXPSAny on q_ $ 5,000 _ PERSONAL 8 A_D_V INJURY $1,00_O,DDO GEN'L AGGREGATE LIMIT APPLIES PER: — POLICY X (JECOT _,_,J LOC __. 1 GENERAL AGGREGATE $ 2,000,D00 PRODUCTS _COMP/OP AGG $ 2,000,000 OTHER: Is A AUTOMOBILE LIABILITY Y TRA3658080 2/10/2019 2/10/2020 OMBINED IN LE LIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED 7 SCHEDULED AUTOS ONLY AUTOS X HIRED OS ONLY X NON-OAUTOSWNED � BODILY INJURY (Per accident) PROPERTY DAMAGE lPfr lcq"nh-_____ $ $ Broadened Pollution $ Included A X UMBRELLA LIAB X OCCUR TRA3658080 2/10/2019 2/10/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE ---'-- $ 5,000,000 EXCESS LIAB. I �_ CLAIMS -MADE — DED X RETENTION $ I _________....__ _. $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE Y OFFICERWEMBEREXCLUDED? N/A 4073732 10/1/2018 10/1/2019 X PER OTH• STATUTE ACCIDENT ; $ 500,000 E.L. DISEASE - EA EMPLOYEE — $ 500,000 (Mandatory In NH) It Eyes. describe under 1 DSCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $ 500,000 A Inland Marine TRA3658080 Equipment/ACV/Special 1 i I 2/10/2019 2/10/2020 i I Rent/Leased Deductible 50,000 500 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. City of Fort Collins Financial Services Purchasing Division 215 N Mason Street 2nd Floor Ft. 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 4197