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Home My WebLink About188139 DOHN CONSTRUCTION INC DCI RESIDENTIAL LLC - INSURANCE CERTIFICATEDOHNCON-01 LWEISBRO AICo�®° E (MMIDONYYY) ✓_ CERTIFICATE OF LIABILITY INSURANCE DAT6/8/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATEDOES 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 REPRESENTATIVEOR.PRODUCER, AND THE CERTIFICATEIHOLDER. 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 certificateholder in lieu of such endorsements . PRODUCER C NTACT PFS Insurance Group - _ __ ,co."r o. Fzatc (9701635-9400 aC. Rm:(970) 635-9401 INSURED Dohn Construction, Inc. DCI Residential, LLC $42 Midpoint Drive Fort Collins, CO 80625 ......'... ..,users-i nanennu unnaoen. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE_ FOR THE POLICY PERIOD "THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE '13EEN`REDUCED BY PAID CLAIMS'. INSR TYPE OF INSURANCE. ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR 1R57255 10/1/2019 10/1/2020 DAMAGE TO RENTED PREMISES (Ea occurrenMED $ 5Q0,000 EXP (Any.onePerson) $ 10,000 PERSONAL$ ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X 29 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE'LIAeILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per rsonOAMED.SCHEDULED ANY AUTO 1Z57265 10/1/2019 10/1/2020 BOODILYRII77NJJURY Per accident $ AUpTEOS ONLY AU�rT,OOSSyy� D AUTOS ONLY X AUTOS ONLY Ix (PerOacEcidem AMAGE $ A X I UMBRELLA LIAB X OCCUR EACH. OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS -MADE 1P57256 10/1/2019 10/1/2020 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 _ _ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN pFFICER/Ml7MBFR EXCLUDED9 (Mandatory m.N ) N / A 3055407 7/1/2020 7/1/2021 PER X, OTH- ER - E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1r000,OOO E.L. DISEASE -POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Builders Risk' 1057255 10/1/2019 10/112020 Limit 5,000,000 A Leased/Rented Equip 1057255 1011/2019 10/112020 $1,000 Deductible 100,000 DESCRTPTION.OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional RE: City of Fort Collins Proposal No. 8546. If required by written and exclusions: The Certificate Holder Is named as Additional Insured basis under General liability and Automobile Liabllity..if required) General Liability, Automobile Liability and Workers' Compensation. Remarks Schedule , may be attached N mom space is required) contract the following provisions apply subject to the policy terms, conditions, limitations for ongoing operations and completed operations on a Primary and Non -Contributory by written contract, a Waiver of Subrogation in favor of the Certificate Holder applies to the Umbrella provides excess coverage over the General Liability, Automobile Liability and Employers' Liability. i.er.r, r,n crr ui.r neeI PAW-== I ATIe%&I SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collin.Purchasin Division 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 ACORD 25 (2016/03) 1 v 19SS-2015 AGVKV cUKPUKAI IUN. An ngnTs reserves. The ACORD name land logo are registered marks of ACORD