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HomeMy WebLinkAboutC B SIGNATURE HOMES LLC - INSURANCE CERTIFICATE��•1 CBSIGNA-01 SLUNDER ,d►coRo CERTIFICATE OF LIABILITY INSURANCE FDATE (MM/DD/YYYY) 04/16/2018 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 have ADDITIONAL INSURED provisions or 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 NAME CT Shelly Lunder PFS Insurance Group PHONE FAX 4848 Thompson Parkway Suite 200 EA/NCIA No, E:t): IA/C, No):(970) 635-9401 Johnstown, CO 80534 ADDREss: shellyl@mypfsinsurance.com - INSURED C B Signature Homes, LLC; Aspen Meadows Development, LLC Corie Baessler 1620 Carriage Drive Eaton, CO 80615 B: B Co DC\/ICIn Ki Kit 1M[2FD- 11 v 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR 1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE [ X I OCCUR X GLP011327406 01/03/2018 01/03/2019 $_100,000 - DAMAGE TO RENTED PREMISES_(E_a_occurrence MP ( ED EXAny oneperso�__ $. S,000 $ 3,000,000 PERSONAL & AOV INJURY $- 3,000,000 $ 3,000,000 -- GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY n PRO- LOC _ JECT GENERAL AGGREGATE PRODUCTS-COMP/OPAGG OTHER $ B AUTO MOBILE LIABILITY 111/26/2017 COMBINED SINGLE LIMIT _(Ea- 1,000,OQO $. --- BODILY INJURY Perperson) X ANY AUTO CPA3182146-20 11/26/2018 $ _ BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ $ PReOacEcldBTMnt -- BRELLA LIAB OCCUR EACH OCCURRENCE $ $ LIABCIMS-MADE 4DECD AGGREGATE $ RETENTION $ C WORKERS CO..­ENSAT:ON AFFICER/MEETORM'ER EXCLUDED? Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandator in NH) �� Y N /A 4156397 06/01/2018 06/01/2019 PER OTH- �TA�TE �F_R 100,000 E.L. EACH ACCIDENT - - $_-- _--- - — -- - E.L. DISEASE = EA EMPLOYEE 1 OO,000 $ If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522 LA 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD