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Home My WebLink AboutPRECISION PANEL COLORADO LLC - INSURANCE CERTIFICATE (4)i� PRECPAN-01 RFISHER ACORO �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDlYYYY) 2/24/2017 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 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: --Rhonda Fisher TrueN o rth PHONE FAX Phone: 303) 776-5122 (A/c, N. E4t: (303) 774-2953 (A/C No): (303) 776-6495 E-MAIL she uenorthcom anies.com 275 S. air Street ADD(4ES5: rQtr p Longmont, CO 80502 INSURER(S) AFFORDING COVERAGE_ NAIL 11 INSUREPtA:COIOrry Insurance Company 39993 INSURED INSURER a:Pinnacol Assurance Company 41190 Precision Panel Colorado LLC 8: Gabler Homes LLC Red Cloud Road D: Longmont, CO 80504 rINSWURERC1799 E: F : rnVFRAnFS rFRTiFirATF NtIMRFR- 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. ILTR TYPE OF INSURANCE IN DDL SOU /BDR NUMBER POLICPOLICY MM DDYEFF /YYYY) (MM,) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 — CLAIMS -MADE X OCCUR X 103GL0012981-00 IGfA DAGE TO RENTED— 02/23/2017 02/23/2018 PREMISES (Ea occurrence $ 100,000 MED EXP (Any One person) $ 5,00 PERSONAL 3ADVINJURY GENERAL AGGREGATE $ 1,000,00 $ 2,000,0_0 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X JECOT- n LOC J PRODUCTS - COMP/OP AGG - _ _ $ 2,000,00 OTHER: $------ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident1 $ _ S ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS �- NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED i RETENTION $ $ WORKERS COMPENSATION X ER AND EMPLOYERS' LIABILITY YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE 135932 08/01/2016 08/01/2017 _STATUTE E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? � (Mandatoryin NH) N/A -- E L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPI ION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Greg Gabler is exldued from Workers' Compensation coverage. City of Fort Collins is included as an additional insured as respects General Liability, where required by written contract or agreement, per policy forms and endorsements, for ongoing operations of named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 580 Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE # kopu © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD