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HomeMy WebLinkAboutHIGH CRAFT BUILDERS INC - INSURANCE CERTIFICATE (4)OP ID: SC AFRO CERTIFICATE OF LIABILITY INSURANCE DATE 03/31/2016 Y) 03/31/2016 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 endorsement(s). PRODUCER Phone:970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fax:(PAC, Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI CONTACT NAME: PHONE FAX Ac No Ext : wc, No): E-MAIL ADDRESS: PRODUCER HIGHC-7 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # INSURED High Craft Builders, Inc 429 S. Howes St. Fort Collins, CO 80521 INSURER A: Cincinnati Insurance Companies 10677 INSURER B : Pinnacol Assurance 41190 INSURER C : Lloyds Of London INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE I L UB POLICY NUMBER POLICY EFF MM 1DD/YYYY POLICY EXP li YYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR EPP0317084 EPP0317084 03/31/2016 03/31/2016 03/31/2017 03/31/2017 EACH OCCURRENCE $ 1,000,00 A A T(a=N D PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 X EPLI GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY F PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 EPLI $ 500,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS EBA0317084 EBA0317084 EBA0317084 03/31/2016 03/31/2016 03/31/2016 03/31/2017 03/31/2017 03/31/2017 COMBINED SINGLE LIMIT accident) $ 1,000,00 X BODILY (Per person) BODILY INJURY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A X UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE - DEDUCTIBLE I RETENTION $ 10,000 EPP0317084 03/31/2016 03/31/2017 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 $ X _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4066635 01/01/2016 01/01/2017 X WC STATU- OTH- TORY LIMITS R E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 C Professional Liab ANE1675708.16 01/12/2016 01/12/2017 EachClaim 1,000,00 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Bus Pers Property - EPP0317084 - 3/31/16-17 - $78 463 Installation Float - EPP0317084 - 3/31/16-17 - $46,000 UtK I II-II.A I t MULUtK I.AIVIiCLLA 1 IUN FORTCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins Utilities 700 Wood Street Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD