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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