HomeMy WebLinkAboutALCHEMY HOMES RENOVATIONS LLC - INSURANCE CERTIFICATEAlCORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM DDM^/Y)
8/1312019
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 Liberty Mutual Insurance
PO Box 188065
Fairfield, OH 45018
CONTACT
PHOAIC,NENo, 800-962-7132 (AJFAC No: 800-845-3666
E-MAIL
ADD ss: BusinessServiceLibe Mutual.com
INSURERS AFFORDING COVERAGE
NAIC8
INSURERA: General Insurance Company of America
24732
INSURED
Alchemy Homes Renovations LLC
644 Emery St
Longmont CO 805015035
INSURER B :
INSURERC:
INSURER O:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 50560134 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.
INSR
LTR
rypE OF INSURANCE
ADDL
SUBR
POLICYNUMBER
POLICY EFF
M/DD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
✓
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fv-] OCCUR
Businessowners
BWG60191868
8/8/2019
8/8/2020
EACH OCCURRENCE
$1000000
PREMISES Ea ooruneE nos
$ 1 00O 000
✓
MEO EXP (Any one arson
$15 000
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JET LOC
OTHER:
GENERALAGGREGATE
PRODUCTS - COMP/OP AGG
WOOO
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
M 1 L Ea accident
BODILY INJURY(Per person)
BODILY INJURY (Par accident)
PROPERTY DAMAGE
Per accident
$
S
UMBRELLA UAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
S
DED RETENTION$
$
WORKERS COMPENSATION
ANDEMPLOYERS'UABIUTY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED9 ❑
(Mandatory In NH)
If Yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
S
E.L. DISEASE- POLICY LIMIT
S
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, maybe attached If mom space Is required)
City of Fort Collins
PO Box 580
Ft. Collins CO 80522
ACORD 25 (2016/03)
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�`
Robert Wonq
(71988-2015 ACORD CORPORATION. All rinhtc racarvprl
The ACORD name and logo are registered marks of ACORD
50560134 1 60191860 1 19-20 Master Certificate I Robert Wong 1 8/13/2019 1:05:20 PM (PDT) I Page 1 of 1