HomeMy WebLinkAboutZAK GEORGE LANDSCAPING LLC - INSURANCE CERTIFICATE 2020-2021A�� �� i oare {M�roomvv}
CERT�FiCATE OF L1AB�LITY INSURANCE � o�zn�2a2o
THIS CERTIFICATE 15 ISSUEO AS A MATTER OF INFORMA710N ONLY AND CONFERS NO RlGHTS UPON THE CERTIFICATE HOLDER. THIS
C@RTIFICATE QOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BHLOW. 7li15 CER7IFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B�TWEEN THE ISSUING INSURER{S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATH HOLDER.
IMPORTAN7: If ihe certiiicate holder is an A�DII'IONAL INSURED, the policy(iea) must have ADDITIONAL INSURED provisions or be endarsed.
If SUBROGATION IS WAIVEd, subject to the terms and conditiona of the policy, certain policies may require an endorsement. A atatement on
this certiiicate doss not conter rights to the certificata holder in lieu of such endorsement(s).
PRODI3CER NA EA T KyEis Carey, GISR, CIG
Flood and Peterson PHoreE .(970) 266-7149 � No :(970) 506-6845
PO Box 578 E"M�� KCarey�floodpeterson.cam
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ONSUR6RIS1 AFFORDIN6 COYERAGE NNC +
G resley
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Zak George isndscaping, LLC
335 5. Summit View Drive
CO 80632 � �NsuRER �: Cincinnati Indemniry Co
we��n�e e . PlflI18C0� p15511fflI1C8
INSURER E :
FOrt l'iOIIIRS C� 8052�1 IN6UAEli F:
COVERAGES CERTIFICATE NUMBER: FuIlCerbc411l21 -ZGL REVISION NUMBER:
THIS IS TQ CEfiTIFY THAT THE POLICIES QF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSl1RED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWlTHSTAN�ING ANY REQUIREMEMT, TERM OR CON�ITIOfV OF ANY CONTRACT OR OtNER DOCUMEN7 WITH RESPECT Tp WHICH THIS
CERTIFICATE MAY BE ISSUEb OR MAY PER7AIN, THE INSURANCE AFFdRpED BY TH� POLICIES D�SCRiBE� HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANp CONDITIQNS qF SUCH PpLICIES. LIMITS SHOWN MAY HAVE BEEIV REOLlCED BY PAID CLAIMS.
NSR Typg OF INSIfRANCE POLICY NUMBER MMl�WYYY MMl�WYYYP ��M�Ts
LTR
X COMIItERClAL OENERAL LIABILfTY EACH OCCURRENCE S
CLAlµ3•AAAOE � OCCUR PREMISES Eaooarrtence S�
PQ Ded.: $1 �Q40 uIF11 FYP IAmi ma narsrn5 5 � Q��00
1,OQ0,000
2,000,000
A
GEN'LAGGREGATE LIMITAPPLIES PER:
POUCY �X ��Cr � LOC
onieR:
AUTQMOBILE LIABILITY
X ANY AUTO
A OWNEO SCHE�ULED
ALITOS ONLY AUT03
v H�RED NQN•OWNED
^ AUTOS ONLY AUTOS ONLY
X I1M9RELLA LIAB OCCUA
A F.1(CE55 LIAB CLAIMS•MA�E
�ED RETENTION �
WORKfRB COMPENSATION
ANDEMPLOYEAS'LIABILITY Y1N
ANY PROPRIETOR/PAii7NERlEXECUTIVE ❑
B OFFICEWMEAABER EXCLUDEDT Y N 1A
{Ilfpndatpry in NHj
If yes, descA6e untler
�ESCfiIPTION OF OPERA710NS 6elow
LeasedlRented Equipment
A
EPP0472465
EPPD4724fi5
INSURER G :
04/01/2420 I 04101l2021
232$0
41190
1,000,000
rnvwv � a � •.vmrr.Jr n.av .n �
sto�-Gap - wr s i,000,000
COMBINEO StlJGLE LIMIT a 1,OOD,UDO
Ea acddent
BOQILY INJURY �PBr person) 3
041�71202� 0410112Q21 BOdILY IWURY {Per accldentj S
PROPERTY DpMAGE S
P r dent
Medical payment3 S 5,OOD
EpCH OCCUNRENCE $ 5,040,OD0
EPP0472465 0410112Q20 04101I2021 aGGAEGare a 5,004,000
S
PER OTH-
5TA TE EH
4103537 aa�ai�zo2a oaro��2a21
E.L.ERCHACCIDENT s 1,D00,000
E.L. �ISEASE - EA EMPLOvEE S 1,000,004
� � .,���„�� e.,� ��., � �..�r � 1,OD0,000
�PPOa72465
�ESCRIPTION OF OPERA71aN3! LOCAT10N8! VEHICLES (ACOIi� 101. AddNlpeul R�m�rlu 3chaEule, may bs alteehatl M more spice i� requlnAy
City of Forl Collins
PO 8ox 58D
Fort Collins
ACORD 25 (201FId3)
CO 80522
04/01/2020 � 04l0112021 �$50,OOD Limit � $2,500 �ed.
SHOULD ANY OF THE ABOYE DESCR�BflU PQLICIES BE CANCELLED BEFORf
THE EXPIRATIdN �ATE TNEH�OF, H0710E WIL� B� DELIVERED IN
ACCORDANGE WITH iHE PdLICY PROVISIONS.
AUMIORIZED REPRESENTATiYE
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7he ACORD name and logo are registerect marks of ACORD