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BMC STOCK HOLDINGS INC - INSURANCE CERTIFICATE
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM2015 Y) 1vD7 zols 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 AOn Risk Insurance Services West, Inc. Los Angeles CA office CONTACT NAME:PHONE FAX (A/C. No. Ext): 8662837122 (AIC. No.): 800-363-0105 E-MAIL ADDRESS: 707 Wilshire Boulevard Suite 2600 INSURER(S) AFFORDING COVERAGE NAIC # LOS Angeles CA 90017-0460 USA INSURED INSURER A: ACE American Insurance Company 22667 BMC Stock Holdings, Inc. **'See Attached List of Named insureds** INSURERB: Allied World National Assurance Company 10690 INSURER C: 980 Hammond Drive NE Atlanta GA 30328 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570060339131 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. 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR XSLG EACH OCCURRENCE $1, 900, 000 DAMAGE TO RENTEDExcluded PREMISES Ea occurrence MED EXP(Any one person) Excluded PERSONAL B ADV INJURY $1,900,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JET �X LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2 , 000, 000 A AUTOMOBILE LIABILITY X ANY AUTO AILL OWNED SCHEDULED X AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS ISA H08871097 12/01/201512/01/2016 COMBINED SINGLE LIMIT Ea accident $5,000,000 BODILY INJURY( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 03098997 12/01/2015 12/01/2016 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DIED X RETENTION $10,000 A A WORKERS COMPENSATION AND LIABILITY YIN ANY PROPRIETOR/ PARTNER/ EXECUTIVE OFFICERIM(Mandatory In ER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below N / A WCUC48130203 WLRC48130185 12/01/2015 12/01/2015 12/01/2016 12/01/2016 X PER OR STATUTE R E.L. EACH ACCIDENT $1, OOO, OOO E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1.000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) it CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Attn: Sandy Lindell P.D. Box 580 Mn Fort Collins CO 80522 USA V ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD