HomeMy WebLinkAboutALCHEMY HOMES RENOVATIONS LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE I DATE(MWDD/YYYY)
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 !,a 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 NAME
PO Box 188065 PHONEExtIl 800-962-7132 A X No : 800-845-3666
Fairfield, OH 45018 JdAM.,L
INSURED
Alchemy Homes Renovations LLC
644 Emery St
Longmont CO 80501$035
55962755
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TE
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
-
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT -TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
I
POLICY NUMBER
POLICY EFF
(MMMONYYYI
.POLICY EXP.
fMMIDDfYYYY1OMITS
A
COMMERCIAL GENERALLWBIUTY
CLAIMS -MADE OCCUR
BUSIneSSOWr1erS
BWG60191868
8/8/2020
8/8/2021
EACH OCCURRENCE
a1,000000
PREMISES(Ea occurrence
$1 000 000
✓
MED EXP (Any one person)
a 1$ 000
PERSONAL & ADV INJURY
,a 1 000 000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY ECT LOC
OTHER:
GENERAL AGGREGATE
s2,000,000
.PRODUCTS-COMP/OPAGG
s2,000000
a
AUTOMOBILE
LU1alUTY
ANY AUTO
OWNED ISCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
a - -
BODILY INJURY (Per person)
a
BODILY INJURY (Per accident)
)
a
PROPERTY DAMAGE
Per"good ant
a
_
a
UMBRELLA LIAB
EXCESS LUIB
OCCUR
CLAIMS -MADE
_ _
_
EACH OCCURRENCE
is
AGGREGATE
a
DED RETENTIONS
, a
WORKERS COMPENSATION
ANDFMPLOYERS'LIABIUTY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatoryii in NH)
If yees,s.ddescribe under
DESCRIPTION OF OPERATIONS below
NIA
- -
PER OTH-
STAT TE I ER
E.L. EACH ACCIDENT
a
E.L. DISEASE • EA EMPLOYEE
a.
E.L. DISEASE -POLICY LIMIT
a
DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, Atltlltlonel
Remarks Sehatlute,.may be attached .H.Mom spree Is required)
CERTIFICATE HOLDER I CANCELLATION
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Ft. Collins CO 80522
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Tim Beli
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
55962755 1 6019186B 1 20-21 GL I Ti. Bell 1 6/12/2020 8:26:53 AM (PDT) I Page 1 of 1