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HomeMy WebLinkAboutC B SIGNATURE HOMES - INSURANCE CERTIFICATECBSIGNA-01 BADAMS ACORO CERTIFICATE OF LIABILITY INSURANCE `-� DATE 01/02/2018Y) 01/02/2018 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 PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 CONTACT PHONE FAX ,vC, No, Ext : (970) 635-9400 A/C, No :(970) 635-9401 A M alE : info@mypfsinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Builders Insurance Company 11240 INSURED C B Signature Homes, LLC; Aspen Meadows Development, LLC INSURERS: Continental Western Group 10804 INSURER C: Pinnacol Assurance Co 41190 INSURER D : Corie Baessler 1620 Carriage Drive Eaton, CO 80615 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. ILT TYPE OF INSURANCE ADDL SUBR POLICY NUMBER (POLICY EFF POLICE YP YI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [K OCCUR X GLP011327406 01/03/2018 01/03/2019 EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTED n $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ jre7 El LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS p AUR1W ONLY AUTOS ONLY CPA3182146-20 11/26/2017 11/26/2018 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY BOODILY INJURY Per accident $ PPerOacClRUtlentDAMAGE $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIET BgOR/PARTNER/EXECUTIVE Y❑ K.F.10ER/M in NH) EXCLUDED? It es, describe under DESCRIPTION OF OPERATIONS below N 4156397 06/01/2017 06/01/2018 ISTATUTE ERPER OTH- EACH ACCIDENT E.L./A 100,000 $ E.L. DISEASE - EA EMPLOYE 100,000 $ 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. I"gzi117NL'\Ia;NI1111Uga City of Fort Collins PO Box 580 Fort Collins, CO 80522 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