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HomeMy WebLinkAboutHORIZON WEST BUILDERS - INSURANCE CERTIFICATE�—� HORIWES-01 GENEVAD ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� 1 1/3/2019 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 Diane Davis NAME: Forsberg Engerman Company an affiliate of Mountain West Insurance & PH No (30-1717 FAx Financial Services, LLC 3)T62 --- (arc, No):(303 ) 762-1733 3575 S Sherman Street Ao Ross: dianed@mtnwst.com Englewood, CO 80113 INSU S) AFFORDING COVERAGE NAIL $ INsuRERA:Emolovees Mutual Casualtv Comoanv 121415 INSURED Horizon West Builders 3855 E 151st Ave Brighton, CO 80602-7787 nnVFDA(AFC f_PDTICIf_ATG Kit IUMFD• DC1/ICIr11U Kill IUO=D• 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Includes XCU X Q20448 4/1/2018 4/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAPREMGE TO RSESaENTED $ 100,000 X MED EXP one person) 5,000 $ PERSONAL & ADV INJURY $ 1,000,000 GEML X AGGREGATE LIMIT APPLIES PER: � POLICY JERCT � L� OTHER: GENERAL AGGREGATE 2,000,000 $ PRODUCTS - COMPIOP AGG 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WE%ONLY X AUTOSONLDY X 4E20448 411/2018 411/2019 COMBINEDDSINGLE LIMIT Me acoclea $ 11000,000 X BODILY INJURY Per person) $ BODILYINJURY Per accident $ X pBODILY PeraccideM �� $ A X UMBRELLA LIAR X OCCUR EXCESS LIAB I CLAIMS -MADE DED RETENTION $ Q20W 4/1/2018 4/1/2019 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYSTATUTE AANNYPROPRIETOER/PARTNER/EXECUTIVE Y❑ (Mandatory In NHR EXCLUDED,) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1/1/2019 1/1/2020 XPER OTH- EL EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYEE I 1,000,000 E.L. DISEASE - POLICY LIMIT 1,(b0,000 A A Inland Marine Scheduled Equip 20448 4C20448 4/1/2018 4/1/2018 4/1/2019 4/1/2019 Leased/Rented Equip Limit 75,000 152,211 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured with respect to general liability and automobile liability coverage. The City of Ft Collins Purchasing Department PO Box 580 Ft Collins, CO 80522-0580 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 lI ( 1 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD