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Home My WebLink AboutHORIZON WEST BUILDERS - INSURANCE CERTIFICATE (5)HORIWES-01 DDAVIS ,acoRO CERTIFICATE OF LIABILITY INSURANCE FDATE 12/29/2017Y) 12/29/2017 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 RNNTACT Diane Davis Forsberg Engerman Co PHONE 3575 S Sherman St (Arc, No, E q: (303) 762-1717 huc, No):(303) 762-1733 Englewood, CO 80113s. _ INSURED Horizon West Builders 3855 E 151 st Ave Brighton, CO 80602-7787 F: MVFRAnFA CFRTIFICATF NI IMRFR• RFVICInKl NI IRARFR- 1 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Includes XCU X D20448 04/01/2017 04/01/2018 EACH OCCURRENCE $ 1,000,0W DAMIAGE TO RENTED nc $ 100,000 X MED EXP one person) 5,000 $ PERSONAL & ADV INJURY _ $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ ipga FILOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPrOPAGG 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS ONLY AUTOWNLY X 4E20448 04/01/2017 O4/01/2018 COMBINED SINGLE LIMIT (Ea accident)X $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ XMS OPceAMAGE Rer accident.?idnt $ A X UMBRELLA LIAB X _ OCCUR EXCESS LIAB CLAIMS -MADE DIED RETENTION $ 4J20W 04/01/2017 04/01/2018 EACH OCCURRENCE AGGREGATE $ 3,000,000 3,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y FILER/MEMB8EER EXCLUDED? andatory in NHI I yes, describe under DESCRIPTION OF OPERATIONS below NIA 4088363 01/0112018 01/01/2019 X I SPTERTU �( OTH- $ 1,000,000 $ 110001000 000 0� ' ' E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMB A A Inland Marine Scheduled Equipment 4C20448 4C20448 04/01/2017 04/01/2018 Leased/Rented Equip 04/01/2017 04/01/2018 Limit 25,000 152,211 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate holder is additional insured with respect to general liability and automobile liability coverage. The City of Ft Collins Purchasing Department PO Box 580 Ft 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 1, o1w) �` (llt 0) ACORD 25 (2016103) C 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD