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Home My WebLink AboutZAK GEORGE LANDSCAPING LLC - INSURANCE CERTIFICATE 2020-2021 (2)AC�� OATE (MIWflD1YYYYj �� CERTIFICATE �F LiABILITY INSURANCE o�za�zoza THIS CERTIFICATE 15 lSSUSD AS A MAiTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATE HOLDER. TH1S CER7IFICATE DOES NO3 AFFiFiMATIVELY OR NEGATIVELY AMEND, EXTEND OR AI.TBR TFiE COVERAGE AF�QR�ED BY THE POLIClES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWHEN THE ESSIfING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANQ THE CERTIFlCATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSIiRED, the policy(iesj must hava ADDITIONAL INSl1RED provisions or be endorsed. I! SUBROGATION IS WAIVED, subject to tha terma and conditions o! the palicy, certein policies may require an endorsement. A statemant on this certificata does not confer rights to the certificate holder in lieu of such endorsement(s). PFiODUGER NA EA Kylie Carey, CISR, CIC Flood and Petarson PkoHE ,(970j 266•7148 � No : i9701506-6845 PO Box 578 b �QFaQ. KCarey�ffoodpeterson.com Greeley wsuR�o 2ak Georga L.andscaping, LLC 335 5. Summit Vi9w Drive Fort Collins CO 80632 CO BU524 iNsuReR e,: Cincinrtati Indemniry Co ��e,�e�e Q . Pinnacol Assurance INSIIRER C : INSURER 0: INSUHEA E : Nacr 2328D 41190 DVERAGES CERTIFICATE NUMBER: FullCerbc411121 - ZGL REVfSION NUMBER: THI5 IS TO CERTIFY THAT THE POLICIES OF INSt1RANCE LISTED BELOW HAVE BEElV ISSUED TO THE INSURED NAM�D ABOVE FpR TFIE POLICY PERIOD INDICATED. NOTWITHSTANDIfJG ANY REQUIREIuIENT, TERM OR CONDITtON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEATIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDE� BY THE POLICIES DESCRIBE� HEREIfV IS SUB.lEC7 TO ALL THE TERMS, EXCUISION5 AND CONDI7fONS OF SIfCH POtICIES. LIMI7S SHOWlV MAY HAVE BEEN REDUCEO BY PAIO CLAIMS. �R TYPEOFINSURANCE POl1CYNUMBER MIQW�OIYYY MNWDI'!YY LIMITS R x COMMEitC1AL QENERAL UABILITY EACH OCCURRENCE S��040,000 CLAIMS•MADE � OCCUfl PREMI ES Eaoowrrente a SOO,OOU PD Ded.: $1,000 ME� EXP An me rson S 10,000 A GEN'L AGGREGATE LIMI7 APPLIE5 PER: PpLICY ❑X �Ea ❑ LOC OTFiER: AUT6MOBILE LIABILITY X ANYAUTO p� OWNED SCHEOUIED AUTOS ONLY AUTOS X HIRE� �/ NON-OWNEn AUTOS ONLY �� AUT4S ONIY UMBRELLA WAB OCCUR AEl(CE33 t1AB ... . �..� .....� WORKER$ COIRPENSATION AND EMPLOYEH3' LIABILITY y� N ANY PROPRIETOR/PARTNEAfEXECUTiVE ❑ B OFFICEFiIMEMBEflEXCLItDEDT Y NIA {IHllndi�lory in NHj IF yes, describa under OE$GH[PT10N OF OPERATIONS below A Leased/Renked Equipment EPPD472465 EPP0472465 EAP0472465 4103537 EPP04724fi5 0410112Q20 OAJ0112021 PER50NA�8AdYINJURY E 1,004,000 GENERALAGGREGATE S 2�OOU,QOU PRODUCTS-COMPlOPAGG S 2�000,000 Stap-Gap - WY 5 1,00O,OOD COMB�NED S�NGLE LiMIT t ti,p00,000 Ea eccident BOOILY INJURY �Par persvn) S Q4l4112020 QM41l2021 BODILY IN,IURY �Pe� acGdenll S PROPERTY �AMAGE S P r eccid9n Medical payments 5 5,000 EAGH OCCURRENCE s r3,OO4,000 04/01/2420 04l01/2021 er.r.wFr.aTF s 5,000,000 04/01/2020 { 04/Ol/2021 E.L. DISF115E - EA 1,000,000 i,400,000 i,000,aoo 04/01l2020 � 04l01/202� �$50,400Limit DESCAIPTION OF OPERATIONS 1 LOCATIONS ! YEHICLES (ACOR� 101, AddlHonsi R�merNs ScMduls, mey 6a atteehad M moro epaa I� requiro� Cenilicate itolder is included as Additional Insured as required by written contract with respecis to liahility srising out of work per}ormed by the named insured, with respect to the General liabliry and Auto Lia6ility policies. $2,500 Oed. The City of Fort Collins Purchasing DepartmeM P.O. Bax 580 FoA Collins ca eosz2 SHOULD ANY OF THE ABOVE DESCAIBED POLIGIES BE CAhCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERE� Ih ACCORUANCE WRN THE POLICY PROVISIONS. AUTHOiiIZE� REPRHSENTATIVE � 19$8-2015 ACpRD CORPORATION. All rights reserve ACORD 25 (2pi 6/U3} The ACOR� name and logo are registered marka of ACORD