HomeMy WebLinkAboutFOOTHILLS LANDSCAPE MAINTENANCE LLC - INSURANCE CERTIFICATE 2020-2021'`�c'oR�� CERTIFICATE �F LIABILITY INSURANCE OATE�MMIDDIYYY
�.,�- 3� za.2ozo
THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTiFICATE HQLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND pR ALTER THE COVEitAGE AFFORDED BY 7HE POLICI�S
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CQNSTITUTE A GONTRACT BETWEEN 7NE ISSUING INSURER[5j, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPOR7ANT: If the certifitate holder is an ADplTIONAL INSURED, tfi�e policy(ies) must have A�DITIONAL INSURED provisians or be endarsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certfficate does not confer rights to the certificate holder in lieu of such sndorsement(s}.
PRoouCER Karole Peters
NAME:
Madison Insurance Group A!C No Ext : 3033220840 �plc, No�: 3033220$'4
6D4 South Cherry St, Ste 900 qportsss: kpelers�r'.madisoninsurance.net
Denver
INSURED
Foothills Landscape Maintenance, LLC
Po Box l89
INSURER�Sj AFFOR�ING COYERAGE
CO 80246 msuReR n: NATIONWIDE INSURANCE
iNSURert e : TRAVELERS INSURANCE
INSURER c : PINNACOL ASSURANCE
INSURER p: CENTRAL MUT INS CO
INSURER E :
Wlf1d50� CO SOS$O INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUNIBER:
THIS IS TO CERTIFY THAT THE POLICIES OF lNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO�ICY PERIOD
INDICATED. NOIWITHSTANDING ANY REQUIftEMENi, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN7 VN7H RESPECT TO VNiICH TH S
CERTIFICATE MAY BE ISSIJED OR MAY PERTAIN, 7HE IMSURANCE AFFORDED BY THE POLICIES �ESCRIBED HEREIN aS SUBJECT TO ALL THE TERMS.
EXCLU510NS AND CONDITIQNS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN R��UCED BY PAID CLAIMS.
LTR TYpE OF INSURANCE INS� WVD POLICY NUMBER (MNEl�OlYYWj MMlDDIYYWj LIMITS
x COMMERCIAL GENERAL LIABILIiY EACH OCCURRENCE S
CLAIMS�MA�E � OCCUR PREMISES {Ea occurcence� S
A
GEN'L AGGREGATH LIMIT APPLIES PER�
� POLICY � PR� ❑ LOC
JECT
AUTOMOBILE LIABILIN
� ANY AUTO
�
B
ONLY AUTOS
y NON-0WNED
pNLY /� AU7050NLY
IIMBRELLA LIAB x OCCUR
EXCESS lIAB CLAIMS�uFADE
DED RETENTION E
Y ACPGLD0304873387G
Y BAP9913797
ZUP-9 l M95774-19-i+lF
MED EXP (Any one person) S
04.+OIi2020 0410i/2021 pERSONAL&ADVINJURY S
GENERALAGGREGATE 3
PR06UCTS - COMP10? AGG S
S
(Ea acciden�j S
BODILY IiJJURY {Aer person} S
04.'Olr'2020 04`OIi2021 BO�ILYIMJURY{Feraccidenq S
(Per accident] a
a
EACFiOCCURRENCE S
fl4�01?2020 U4'DI?2021 AGGREGATB S
S
MO EMPLOYER$' �IA�ILITY Y! N n ��n i �� e er<
NY PROPRIETORlPARTNERlEXECUTIVE E l EACH ACCIDENT $
C FFICEWMEMBER EXCLUDED? ❑N N r A 4154852 i?4; D 1+2020 04.'O V2021
Mandatory In NH) E.L. DISEASH - EA EMPLOYEE E
f yes, describe untler
ESCRIPTIpN QF OPERATIONS 4alow E L DISEASE - POLICY LIMIT 3
Scheduled Equipment
A Contractors Equipment ACP CIM 3048733876 {)4r01;'2P20 04.'DIi2021 Leased/Rented Limit
Deduc�ible
DESCRIPTION OF OPERATIONS 1 LOCATIONS ! VEHICLES (ACORD 101, AddltEonal Remarka Schedule, may he ettached if more apace Is requfred)
The certificate holder is included as an additional insured in regards to the General and Auto Liability policies per written contract.
City of Fort Callins
its Oflicers, Agents and Employees
PO Box 580
Fort COtlinS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFOF
T#1E EXPIRATION DATE THEREOF, NOTICE YYILL BE DELIVERED IN
ACCORDANC� WITH THE POLICY PROVI510NS.
AVTH4RIZE� REPRESENTATIVE
Karo-�� ?c.�r-y
O 4988-2015 ACORD CORPORATION. All righ4s reser
ACORD 25 (2�76103) 7he ACORD name and logo are registered marks of ACQRD