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Home My WebLink AboutCLIFFORD HART DBA HOMES FROM THE HART - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE TE DA01/1212016 Y) ovlz/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 CONTACT NAME: Shannon PHONE FAX ac Not: 97"84-8812 David Lyons Agency ADDRESS: staff dtyODS&Dfarmersage 1000 Driftwood Drive Suite C INSURE S AFFORDING COVERAGE NAIC p Fort Collins CO 80525 INSURERA: Truck Insurance Exchange 21709 INSURED Clifford Hart DBA INSURERS: Farmers Insurance Excharig8 21652 INSURERC: Mid CenturyInsurance Company 21687 HOMES FROM THE HART, LLC INSURER D : 1338 Park Ridge Drive INSURER E ; Eaton CO 80615 INSURER F: L:UVtKAUt5 CERTIFICATE NUMRFR- REVrcrnN wlUI2=0d 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. IiSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR r I� I-7 NA114433000 01/05/2016 01/05/2017 EACH OCCURRENCE $ 1 00O 000 PREMISES Ea occurrence $ 100,000 MED EXP (Anyone person) $ 5 000 PERSONAL 8 ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ECTLOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED X AUTOS AUTOS HIRED AUTOS NON -OWNED AUTO AUTOS � F-I 605903162 07/25/2015 07/25/2016 Ea ardentSINGLE LIMIT $ 100,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ E UMBRELLA LIAR EXCESS LUIB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under NIA J WC STATU- OTH- T RY IMIT R E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ I F- IT 77 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Rernarks Schedule, if more space la required) 1120fc\lla City Of Fort Collins 281 North College Avenue PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE^ NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY VROVISIONS. T-43,1985-2010 ACO D CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD