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Home My WebLink AboutHORIZON WEST BUILDERS - INSURANCE CERTIFICATE (3)HORIWES-01 `� CERTIFICATE OF LIABILITY INSURANCE - GENEVA �3/25/2020 -- 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 conferrights to the certificate holder in lieu of such endorseme s . PRODUCER Mountain West Insurance - Englewood 3575 S Sherman Street Englewood, CO 80113 Diane Davis P"°"No Ed): (303) 762-1717 Fes; Ho :(303) 762-1733 E . dianed mtnwstcom INSUREPASI AFFORDING COVERAGE NAICC INSURER A. Em to ees Mutual Casualty Company 21415 INSURED Horizon West Builders 3855"E 151st Ave Brighton, CO 8.0602-7787 Pinnacol Assurance 41190. -INSURERS: INSURER C : INSURER O: INSURER E INSURER F : r-nvFRAr.Fs CFRTIFICATF NIIMRER- 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. NOTW_ITH_STANDING 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICYEXP LINTS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7xOCCUR Includes XCU X X20448 4/1/2020 4/111021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea omffence) $ 100,000 _ X MED EXP one $ 5,000 PERSONAL & ADV INJURY $ 1,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY j LOC nOTHER: GENERAL AGGREGATE $ 2,000,006 PRODUCTS-COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY .ANY AUTO OWNED SCHEDULED _ AUTOS ONLY AUUTNO)Sy�Ep -X- AUT0.S ONLY X AUTO$ ONLV )( X20448 4/112020 4/112021 COMBINED SINGLE LIMIT (Ea acridemX III1,000,000 BODILY INJURY Per arson �$ BODILY INJURY Per accident) P �BcEcR AMAGE A X. UMBRELLA uAs ES EXCS LIAB X_ OCCUR CLAIMS -MADE 4X20448 411M020 4/1/2021 EACH OCCURRENCE 3,000,000 AGGREGATE $ 3,009,000 DED RETENTION$. B - WORKERS COMPENSATION AND EMPLOYERS LUIBILJTY ANY. PROPRIETORIPARTNER/EXECUTIVE Y❑ F,NI9ER EXCLUDED? Q.FIC NN (Me^�mYIP L If desoine under DESCRIPTION OF OPERATIONS be,.E.L. N / A 066363 1/1/2020 1/1/2021 X OTH- PER FP E.L. EACH ACCIDENT $ 17000,000 E.L. DISEASE-EAEMPLOYEE $ 1'000'000 DISEASE -POLICY LIMIT 1,000,000 A A Equipment Equipment X20448 X20448 4/1/2020 4/1/2020 4/112021 4/112021 Leased/Rented Equip Scheduled Equip 75,000 152,211 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. AddiSomal Remarks Schedule, maybe anadred N more space is required) Certificate holder Is additional insured with respect to general liability and automobile liability coverage. The City of Ft Collins Purchasing Department PO Box 580 Ft Collins, CO 80522-0680 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR® REPRESENTATIVE Ar-non 99 i9n4Rrntl 01988-2015 ACORD The ACORD name and logo are registered marks of ACORD riahts reserved.