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Home My WebLink About188139 DOHN CONSTRUCTION INC - INSURANCE CERTIFICATE (11)DOHNCON-01 LWEI .4c`� v� CERTIFICATE OF LIABILITY INSURANCE DATE 9125120 9�) 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 INSURED Dohn Construction, Inc. DCI Residential, LLC 2642 Midpoint Drive Fort Collins, CO 80525 wcONo_ Fnn. (9701635-MOO 1 iac. No):(970) 635-9401 I F: I^nvcOAncc rFRTIFIrnTF NI IMRFR- REVISION NUMBER: v 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 LTRIMNVDDfYYYYI ADDL mqnPOLICY SUER NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000 DAMAGE TO RENTED fE2 ocipurrat 100,000 III - CLAIMS -MADE X ;occuR X Blanket Add'I Insd 1R67256 10m12019 10/112020PREMISES MED EXP (Any one 5,000 X Blanket Waiver PERSONAL 8 AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � 2a LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perpawn) X ANY AUTO 1Z57256 10/1/2019 10/1/2020 BODILY INJURY Per accident $ OWNED SCHEDULED AIURTEO�S ONLY AUUTNOSSyyNED X AUTOS ONLY X AUTOS ONLY P er emC M AMAGE $ X Blanket Add'I lned X Blanket Waiver A X UMBRELLA uAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS -MADE 1PS7255 10/112019 10/1/2020 AGGREGATE $ 10,000,000 DEED X RETENTION$ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN R/ OFFICEMEM�W EXCLUDED (Mandatory m ) N/A 3055407 7/114019 7M/2020 TH- X PER ATUITE OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below A Builders Risk, '1CS7255 10/1/2019 10/1,2020 Limit 5,000,000 A Leased/Rented Equip 1057255 10/1/2019 10/1/2020 $1,000 Deductible 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Fort Collins Proposal No. 8546. If required by written contract the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder is named as Additional Insured for ongoing operations and completed operations on a Primary and Non -Contributory basis under General Liability and Automobile Liability. If required by written contract, a Waiver of Subrogation in favor of the Certificate Holder applies to the General Liability, Automobile Liability and Workers' Compensation. Umbrella provides excess coverage over the General Liability, Automobile Liability and Employers' Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collin Purchasing Division tY 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street, 2nd Floor Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE i ACORD 25 (2016103) C 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD