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Home My WebLink AboutKEM HOMES CONSTRUCTION INC - INSURANCE CERTIFICATEKEMHO-1 OP ID: B3 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD(YYW)12/15/2015 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). CONTACT PRODUCER NAME: Michael J Schmitt CIC Rich & Cartmill Ins of CO of Colorado LLC o PHDNE Ext 970-356-8030 ac No,. 970-356-8032 8213 W. 20th Street E-MAIL Greeley, CO 80634 ADDRESS: Michael J Schmitt CIC INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Builders Insurance Co INSURED KEM Homes Construction, Inc. INSURER B : Philadelphia Insurance Co 23850 7352 Greenridge Road, A-6 Windsor, CO 80550 INSURER c:Pinnacol Assurance INSURER D : Zurich American Ins Co 16535 INSURER E : _ INSURER F : rc r`CDTICIr`ATC AlllaaRCD• PFVISI!)Ri KI!! .RPR• vTHIS 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 TYPE OF INSURANCE IN D SUB WVD POLICY NUMBER POLICY EFF MM/DDIYYW POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE , X 1 OCCUR GLP 0095986 03 01/01/2016 01/01/2017 PREMISES Ea occurrence $ 100,000 ME EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- ❑ LOC POLICY JECT OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO PHPK1432710 01/01/2016 01/01/2017 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS PAUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HCLAIMS-MADE DED I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4114381 01/01/2016 01/01/2017 X STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 C.L. DISEASE -POLICY LIMIT $ 1 ��Q Opn If yes, describe under DESCRIPI iON OP OPERATIONS ueiuv, D Builders Risk BR69979880 i 02/01/2015 02/01/2016 Mo Report Included Monthly Reporting DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Contractor License Renewal. CERTIFICATE HOLDER CANCELLATION CIT-FOR City of Fort Collins 281 N College Ave Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Michael J Schmitt CIC IJ 1988-2014 AGURD GURPURAI IUN. All ngnts reserveo. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD