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HomeMy WebLinkAboutSHEPHEN WHITTLE DBA WATERFORD HOMES - INSURANCE CERTIFICATEAC R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 08/20/2015 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 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 CONTACT NAME: Shannon Dave Lyons Agency aDDDResS:-MAIL -mm— — 1000 Driftwood Drive Suite C INSURERS AFFORDING COVERAGE NAIC # Fort Collins CO 80525 INSURERA : Security National Insurance Company 19879 _ INSURED INSURER B : Shephen Whittle -- DBA Waterford Homes INSURER C : 816 E 58th Street INSURER D : Loveland CO 80538 INSURER E : INSURER F COVERAGES CERTIFICATE Nt1MREIR RFVIRInIJ NI IMRFR- 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. LT R TYPE OF INSURANCE POLICY NUMBER MOM/LDDY EFF MI�MlDD� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rX OCCUR NA109346600 10/10/2014 10/10/2015 EACH OCCURRENCE $ 1,000 000 A A Tb RENeT[6--- PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 1,000,000 _ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NED AUTOS AUTOS OMBINE IN LE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ $ UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE r 1 F EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y r N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under NIA WC STATU- OTH- TORY LIMIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ T r-r-� I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is an additional insured. CAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE06, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY P VISIONS. 281 N College Avenue AUTHO ED RE RES T TIVE Fort Collins CO 80522 ©1988-2 0 D CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACO