Loading...
HomeMy WebLinkAboutCHAMPION WINDOW CO OF FORT COLLINS - INSURANCE CERTIFICATECHAMPIO-01 HLVKLJ CERTIFICATE OF LIABILITY INSURANCE ( UATE(MM/D°"""' 1 11 /17/2017 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 CONTACT Karen Mullins NAME: Dayytton/ AssuredPartners NIL PHONE FAX 8163 Old Yankee Street, Suite D A/C, No, Ext : 4226 (AIC, No): Dayton, OH 45458 JAMD s karen.mullins@assuredpartners.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: LM Insurance Corporation _ _ 33600 INSURED ireuQCQ w • Liharty Mutual Fire Insurance Cn !23635 Champion OPCO, LLC Champion Window Co. of Ft. Collins, LLC INSURER C_ 5850 Byrd Drive INSURER D : Loveland, CO 80538 INSURER E : INSURER F : C(1VFRARFR r5=PTIFIr'AT5= NI DARER• RFVIRI(VJ NI IURPO. 10677 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, j 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 INSD (MM/DDMOM A X '.. COMMERCIAL GENERAL LIABILITY '.. CLAIMS -MADE X OCCUR X Stop Gap: OH, WA, WY G_E_N'LAGGREGATE LIMIT APPLIES PER: POLICY X JECT PRo- X LOC OTHER: TB5-Z91-461753-037 12/01/2017 12/01/2018 EACH OCCURRENCE $ 1'000,000 DAMAGE TO RENTED 100,000 PREM_I_$E Ea occurrences $ MED ExP An one person)~ $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE '', $ 2,000,000 PRODUCTS -COMP_/OP AGG ' $ 2,000,000 Stop Gap EL p p - $ 1,000,000 B AUTOMOBILE LIABILITY X ANY AUTO � OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY AS2-Z91-461753-017 12/01/2017 12/01/20111 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY AMAGE Per accdent $ is C L._.X. '', UMBRELLA LIAR X OCCUR EXCESS LIAR CLAIMS -MADE F_� i DEDI X � RETENTION $ 0 ''. EXSO46MB 12/01/2017 ' 12/01/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ D WORKERS COMPENSATION ' AND EMPLOYERS' LIABILITY YIN -� ANY PROPRIETOR/PARTNER/EXECUTIVE (I �MandER/MEnNH) EXCLUDED? If es, describe under DESCRIPTION OF OPERATIONS below NIA 90-16232-01 12/01/2017 12/01/2018 X PER OTH- AISITE I _y ER 1,000,000 E.L. EACH ACCIDENT ' $ E.L. DISEASE_EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,U00,000 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) j TE HOLDER City of Ft Collins PO Box 580 Fort Collins, CO 80522-0580 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 p ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD