HomeMy WebLinkAboutZAK GEORGE LANDSCAPING LLC - INSURANCE CERTIFICATE 2020-2021A� O� OATE(MMWWYYYY)
CERTIFICATE OF L�ABILITY INSURANCE D3/2412020
THIS CERTIFICATE IS ISSUED A5 A MATT�R OF INFORMATIpN QIVLY AND CONFERS NO RIGHTS UPON THE CEATIFICATE HOLDER. 7HIS
CERTIFICATE DOES NOT AFFiRMATIVELY OR NEGA7IVELY AMEND, EXTEND OR ALTER 7HE COVERAGE AFFORdED BY TFiE POLICIES
BEI.OW. THIS CE�iTIFICATE pF INSUAANCE DOES NdT CONSTITUTE A CONTRACT BETINEEN THE ISSl11NC 1NSURER{S), AUTHORIZED
REPRESEN7ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an A��ITIONAL INSURED, the policy(ies) musi have ADDIiIONAL INSl1RED provisions or be endoraed.
H SUBROGATION IS WAIVEU, subject ta the terma and conditians of the policy, certain palioies mey require an endorsement. A statement on
this certificate does not confer ►ights to the certificate holder in lieu of such endorsement(s).
PRO�UCER NA EA Kyiie Carey, CISR, CIC
Flood and Pe�erson PHONE (9�0� 2BB-714a � No :(970} 506-6845
PO Box 578 eR oFQQ• KCarey�floodpslerson.com
Greeley
INSURED
Zak George �andscaping, LLC
335 S. Summit View Drive
Forl Collins
CO 80632 iNSUREpA: CincinnatilndamnityCo
iNsuReR B : P�nnacol Assurance
IHSURER C :
iwsupsA �:
lN3URflFi E :
CO 80524
NAIC N
23280
41190
COVERAGES C�R7IFICATE NUMBER: FullCerbc411l21 - ZGL REVISlON NUMBER:
THIS IS TO CERTIFY THAT THE POLfClES dF INSURANCE LISTED BELdW HAVE BEEN ISSUE� TO THE INSUREp NAMEp ABQVE FOR THE POLICY PERIOD
IN�ICA7ED. NOTWITHSTANDING ANY REQUIREMENT, TERM pR CON�ITION pF ANY CONTRACT OR OTHER OOCUMENT WITH RE5PECT TO WHICH THIS
CERTIFICATE MAY B� 15SUED OA l4AAY PERTAYIV, THE INSiJflANCE AFFORDED 8Y THE POLICIES �ESCRIBED HEfl@IN IS SUB.fEC7 TO ALL TME TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAV� B�EN REDUCED BY PAkD CLAIMS.
NSR 7ypE OF iNSURAlICE POLICY 1'fUM6£R MM�CWYYFF MF�iW�CU 1fY7Y uM1T5
LTR
X C�MMERCIAL GENERAL LIAB4LITY EACH OCCURRENCE S ��OOO,OOO
CLAIM3-NFAOE � OCCUR PREMISES Ea oeeurrenea g SOO,OOQ
PD Ded.: $1,OOU MED EXP ane rson a 10,000
A
GEN'LAGGAEG/4TE LIMITAPPLIES PER:
POLICY � jE�T � LOC
03HER:
AUTOMOBILE L7A61LITY
AMYAUTO
A OWNEO SG}1EDULEO
AUTDS ONLY AUTOS
HERE� NOIY-0WIVED
X AUTOS ONLY AUTOS ONLY
H UMBRELLA LIAB j� pCCVR
A excess u�e ~ ry suac
Y �PPQ472465
Y �PP0472465
EPP0472465
WORKERS COMPENSATIQN
ANDEMPLOYER9'LIABILITY Y1N
ANY PHOPRIETOFVPARTNERIEXECCITIVE �
B OFFICEWMEMBEREXCLl1�ED? Y �ra
�Ma�aeeo.�r i� Nr,f
!! ye�, descrihe under
�ESCRIPTION OF OP@FtATIONS helow
A LeasedlRented Equipment
4i43537
EPP0472465
04I01l2020 OA/0112021 pg�ONRL�ADVINJURV g 1.00O,D00
GENEFtALAGGREGATE a 2�D04,OOD
PROOUCTS-COMPlOPAGG S 2�0OO,OQO
Stop-Gap -1MY S 1,D00,000
COMBINEO SINGLE LIMIT f j,OOO,ODO
Ee acddenl
BO�ILY IWURY (Per persq�} S
041�112020 Q4I01I2021 BO�ILY INJURY [Per eccidenlj S
PROPERTY�AMAGE $
Per acGdenl
Medical psyments 5 5,OOD
EACH OCCURRENCE y S,OOO,UDO
04101I202p 04/01/2021 ar.aaFr.arc t 5,000,000
04/01 l2420 I 04/01/202 i
E.L. DISEASE • EA EMPLOYEE
1,OOD,ODO
1,000,000
i .aoo,000
04101l2020 � Q4lp1l2021 �$SO,ODO Limit
�ESCRIPTIQN dF OPERA710NS 1 LOCASIONS 1 VEHICLE3 (ACOR61D1, Addittonel Ramerks SohWula, mey 6� athcMtl H moro sp�c� Is roquEred}
Certificate holder is included as Addilional insured as required by writlan contract with respacts to liabili�yr arising out of work performed by the named
insured. 30 day notice of cancellation applies in tavor of: Ciry af Fort CoAins
$2,5�0 Ded.
Ciry ot Fart Collins
2i5 N MasOn
Fart Collins
CO Bd524
ShOULD ANY OF THE ABOVE DESGRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION dATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROYISION3.
AUTHOARfl6 REPR6SEffrAT1YE
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