HomeMy WebLinkAboutCB SIGNATURE HOMES LLC - INSURANCE CERTIFICATE 2023-2024��
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'4CORO CERTIFICATE OF LIABILITY INSURANCE pAjE�MMlDDNYYYj
�� I 5116l2023
THIS CERTIFICAT� IS 15SUED A5 A MATTER OF INFORMATION OMLY ANU CONF�RS NO RIGHTS UPON THE CERTIFICATE HOL.DER. THIS
CERTIFICATE DOES NOT AFFiRMATIVELY OR NEGATIVELY AMEND, EXTEND QR ALTER THE COVERAGE AFFORDED BY THE POLfCIE:
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON"�RACT BETWEEN THE ISSUING INSURER(Sj, AUTiipRl2Ed
REPRESENTAiIVE OR PRODUCER, AND TFiE GERTIFICATE HOLpER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iesj must have ADDITIONAL INSIiRED provisions or be endorsed-
If SUBRQGATIQN IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statcment or
thEs certificate does not confer rights to the certifEcate holder in lieu of such endorsement(s�.
PRO�UCER
PFS Insurance Group
4848 Thompson Parkway 5uite 200
Johnstown, CO 80534
INSURE�
CB 5ignature Homes, LLC
35333 Cou�ty Rd 37
Eaton, CO 60615
�q: (970j 635-9400
valeriem(�m�ofs
Pi
ra nce. com
635-9407
THIS IS Td CERTIFY THAT THE FOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN5l1RED NRMED ABOVE FOR THE POLICY PERIOC
INDICATED. NOTWITHSTANDING AMY REQUIREMENT, TERM dft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI�
CERTIFlCATE MAY BE ISSUED OR MAY PEItTAIN, THE INSURANCE RFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCFi POLICIES. �INIlTS SHOWN MAY HAVE BEEM REDUCED BY PAID CLAIMS.
TYPE OFINSURANCE
COMMERCIAL GENERAL LIABILITY
� CI.AIMSauIAPE X OCCUR
L AGGREGATE LIMIT APPLlES PER
POLICY X j��T r , L6C
B I AUTOMOBILE LIABILITY
X
ANY AUT4
A TU OSDONLY x AUTOSU��p
X AUTOS ONLY X AVTOS QNLY
UMBRELLA LIAB OCCUR
EXCE55 LIAB CLAIMS-MADE
DED RETENTION $
C WORKERS CDiNPENSATION
AND EMPLOYERS' LUIBILITY Y! N
R�NY PROPRIETgO�R�IPARTNERIEXECUTIVE
{M�andatory�n NHj ExCLURE�9 N 1 A
If ves. describe under
156397
POLICY N�MBER
0
1!3l2023 1 1I312024
1l3l2023 I 1I3l2024
611I2023 i 6I1l2024
DESCRIPTION OF OPERATIONS f LOCATION51 VEHICLE$ ACOR� 161, Atldllfonal Remarks Schedule, may be akaehed N more spaee la required
f re4uired by written contract, khe City of Fort �ollins Is included as Additional Insured for ongofng operations un er General Liability.
1,D00,[
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
ACOi2D 25 (2D1filfl3j
SHOULD ANY OF THE ABOVE DESCRIBED POI.ICIES B� CANCELLED BEFpRE
THE EXPIRATION DATE THEREdF, NOTIC@ WILL BE DELIVERED I�
AGCORDANCE WITH TFiE POLICY PROVISIONS.
AUTNORIZED REPRESENTATIVE
���'��-�
O 1988-2015 ACORD CORPORATION. All rights reserve
The ACOR� name and logo are registered marks of ACORD
LIMITS
E $ 1,000,I
� $ �����
erson $ 5�(
JJURY $ ��OOO�I
4TE g 2,a��,�
IOP AGG � 2�000,(
s
LIMIT t nnn r