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HomeMy WebLinkAboutBUILDINGS BY DESIGN LLC - INSURANCE CERTIFICATE (7)ACOR�►� �-. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 2/7/2017 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 endorsements . PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO CONTANAME: CT Scott Anderson, CIC P"°NE 303-996-7833 V . 303-757-7719 E-MAIL. sanderson@crsdenver.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Westfield Insurance 24112 INSURED BUILD-6 INSURER B: Pinnacol Assurance 41190 Buildings By Design, LLC. 18163 County Road 26 Brush CO 80723 INSURERC: INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1150205695 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y TRA3658080 2/10/2017 2/10/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X 'OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $500,000 ME EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER. A AUTOMOBILE LIABILITY Y TRA3658080 2/10/2017 2/10/2018 COMBINED IN L LI I (Ea accident $ 1.000,000___ X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAR X OCCUR TRA3658080 2/10/2017 2/10/2018 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION$0 $ 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 4073732 10/1/2016 10/1/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER. EXCLUDED? N I A E.L DISEASE- EA EIdPLOYE $000,000 (Manuatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 A Inland Marine TRA3658080 2/10/2017 2/10/2018 Rent/Leased 50,000 EquipmenVACV/Special Deductible 500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Fort Collins, its officers, agents and employees included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Financial Services Purchasing Division 215 N Mason Street 2nd Floor Ft. 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD