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HomeMy WebLinkAboutCALATLANTIC GROUP INC - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 li 2/12/2018 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 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: Tyler Lund Gore Lieske & Associates Insurance Brokers, L.P. PHONE 15901 Red Hill Ave Suite 100 714-505-7000 n/c No : 714-573-1770 E-MAINo.L ADDRESS: tiund@gorelieske.com Tustin CA 92780 INSURERS AFFORDING COVERAGE NAIC p INSURER A: RLI INS CO 13056 INSURED LENNA-1 INSURER B CalAtlantic Group, Inc. 25 Enterprise INSURER C INSURER D Aliso Viejo, CA 92656 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 873913431 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 ADDL SUBR POLICY NUMBER MM/DDPLICY/YYYY MM/DD/YYYY LIMITS RCIAL GENERAL LIABILITY EACH OCCURRENCE $ �77AIIMS-MADEF—IOCCUR DAMAGE TO PREMISES (Ea occurrence) TEDence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F7 PRO ❑ JEC7 LOC PRODUCTS - COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY CAP9505842 9/1/2017 9/1/2018 CO MBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ AUTO BODILY INJURY (Per accident) $ IANY ALL OWNED X SCHEDULED AUTOS AUTOS PROPERTY DAMAGE p r cident $ X HIRED AUTOS X NON -OWNED UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PRO PRIETOR/PARTN ER/EXEC UTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT _ $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage added to the evidenced program(s) for the CalAtlantic Acquisition effective 02/12/2018. RE: Project Name: McClelland's, Location: Ft. Collins, CO. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins 300 LaPorte Ave. AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD nar ;e and logo a:e registered marks of ACORD