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HomeMy WebLinkAboutBUILDINGS BY DESIGN LLC - INSURANCE CERTIFICATE (4)ACOREX CERTIFICATE OF LIABILITY INSURANCE �/" GATE (MM DD YYVn 2/10/2016 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 endorsements . PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO NAMEACT Stephanie Rodriguez PHONE 303-996-7801 FAXUvc, tIgIr303-757-7719 E-MAIL $ROdrl uez crsdenver.com 9 @ INSURERS AFFORDING COVERAGE NAIC N INSURER A: Westfield Insurance 24112 INSURED BUILD-6 INSURER B:PInnacOI Assurance 41190 Buildings By Design, LLC. 18163 County Road 26 Brush CO 80723 INSURERC: INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NIIMRFR- 1413839359 RFVISInN NIIMRFR- 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. INSR LTR - rypE OF INSURANCE AUULbUNK INSD WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y TRA3658080 2/10/2016 2/10/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGE TO RENTED PREMISES Ea occurrence _ $500,000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 RO- POLICY ] JELOC PRODUCTS-COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y TRA3658080 2/10/2016 2/10/2017 COMBINED Ea accident LI I $1000,000 X BODILY INJURY (Per person) $ ANY AUTO AUTOS�ED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED XIAUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR X OCCUR TRA3658080 2/10/2016 2/10/2017 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DIED X RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 4073732 10/1/2015 10/1/2016 PER OTH- X I STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? Y "/A E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory in NH) If yes Endescribuntler DRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT 1 $500,000 A Inland Marine TRA3658080 2/10/2016 2/10/2017 Rent/Leased 50,000 EquipmenVACV/Special Deductible 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Financial Services Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. Division 215 N Mason Street 2nd Floor AUTHORIZED REPRESENTATIVE Ft. Collins CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD