HomeMy WebLinkAbout992786.tiff ACORQ. CERTIFICATE OF
LIABILITY INSURANCE DATE
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PRoouCER - - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Aeordie of Colorado HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 39117 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
5755 Mark Dabl ing Blvd Ste 300 , I�, L17 COMPANIES AFFORDING COVERAGE
Colorado Springs CO 80949-9117 - COMPANY
(7191 592-1177
INSURED -- -
1 COMPANY
Freedom Mfg Homes Inc B Colorado Compensation
10400 E 1-25 Frontage Rd COMPANY
Longmont, CO 80504 C __
COMPANY
1 D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOT W ITHSTANDING ANYREOUIREMENT,TERMOR CONDITION OFANY CONTRACTOR OTHERDOCUMENT W ITHRESPECT TO W HICHTHIS
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.
CO POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR DATE(MMIDD/TY) DATE(MMIDDIVY)
A GENERAL LIABILITY 5031634248 11/09/99 11/09/00 GENERAL AGGREGATE +I$ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP AGG $ 2,000,000
CLAIMS MADE L _ OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one(ire) $ 300,000
r- MED EXP (Any one person) $ 5,000
A AUTOMOBILE LIABILITY 1336436397 11/09/99 F 11/09/00
COMBINED SINGLE LIMIT $
X I ANY AUTO I 1,000,000
ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
jX HIRED AUTOS BODILY INJURY $
(Per accldenl)
X NON-OWNED AUTOS
PROPERTY DAMAGE $
I _ I
GAR AGE LIABILITY AUTO ONLY • EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY I'
EACH ACCIDENTtB
AGGREGATE $ --�
EXCESS LIABILITY T EACH OCCURRENCE $ —
UMBRELLA FORMAGGREGATE t$
OTHER THAN UMBRELLA FORM I $
B WORKERS COMPENSATION AND 3478091 2/01/99 2/01/00 ORY TLIMIT$1__ ERH_
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
100,000
THE PROPRIETOR/ L IS
INCL EL DISEASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OF -- -- -- ""
OFFICERS ARE: EXCL' EL DISEASE-EA EMPLOYEE $ 100,0000 0
OTHER - I �
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
915 10th Street /) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Creel ey, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZ D REPRESENTATIVE
ktio ki Sarah Watts, AA I
ACORO 25•S(1195) pG7�, }1�/7-
Con A -.c72V7 5e.st R-16: / / CERTIFI( 992786
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