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HomeMy WebLinkAboutCoCal Landscape Services, Inc - Insurance Certificate 2025 A�® CERTIFICATE OF LIABILITY INSURANCE DATEYY) 12/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONNAME C Sabrina Rahe CRS Insurance Brokerage PHONE 303 996-7834 arc No):303-757-7719 9780 S Meridian Blvd Suite 400 E-MAINo.LExIll Englewood CO 80112 ADDRESS sraheOcrsdenver.com INSURERS AFFORDING COVERAGE NAIL 0 INSURER A: Pinnacol Assurance 41190 INSURED COCALAN-02 INSURER B:Selective Ins.Co.of America 12572 CoCal Landscape Services, Inc CoCal Landscape Construction Co. INSURERC: 333 E 76th Ave INSURER D: Denver CO 80229 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:912651631 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. INSR! - .ADDI.sUBR - POUCY EFF I POLICY EXP LTR TYPE OF INSURANCE IN SD WVD I POLICY NUMBER MMEDDIYYYY ! MMIDDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y S 2324658 1/1/2025 1/1/2026 I EACH OCCURRENCE $1,000,000 I—X� I AG O RENT D I CLAIMS-MADE I- --;OCCUR PREMISES(Ea occurr(nce)-__ $500,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE $2,000,000 --- � I JECT --—---- - ---------- - X ! PRO- POLICY X I r-1 LOC j I PRODUCTS-COMP/OP AGG $2,000,000 OTHER: I I $ B AUTOMOBILE LIABILITY Y S 2324658 1/1/2025 1/1/2026 EOMBINED SINGLE LIMIT $1,000.000 X ANY AUTO i BODILY INJURY(Per person) $ OWNED SCHEDULED i AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X ! HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY CPer accidenll _-_ __- $ B X UMBRELLA LIAB X OCCUR S 2324658 1/1/2025 1/1/2026 j.EACH OCCURRENCE $5.000.000 EXCESSLIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X ! RETENTION$n $ A WORKERS COMPENSATION 4136357 1/1/2025 1/1/2026 iX STATUTE i I OR H AND EMPLOYERS'LIABILITY y t N I ANYPROPRIETOFVPARTNER/EXECUTIVE N iN E.L.EACH ACCIDENT $1,000,000 OFFICERrMEMBEREXCLUDED? lA', -- EN -- -- (Mandatory In NH) ! E.L.DISEASE EA EMPLOYEE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ; $1.000,000 e Lease/Rented Equipment S 2324658 1/1/2025 111/2026 Limit 150,000 Deductible $1,000 I DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) City of Fort Collins, its officers,agents and employees are included as additional insured for ongoing and completed operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. General Liability policy has been endorsed to provide 30 days notice of cancellation except 10-day notice for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P O Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ©/1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 3965: 2 ' of 2