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HomeMy WebLinkAboutLambland, Inc. - Insurance Certificate 2025-2026 Aco 0 4/22122® CERTIFICATE OF LIABILITY INSURANCE DATE //2025 Y) 025 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(ies)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 CONTACT Misty Fiscus NAME: Flood and Peterson PHONE (g70)356-0123 FAX (970)330-1867 AIC No Ext: A/C,No): PO Box 578 EMAIL MFiscus@floodpeterson.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL N Greeley CO 80632 INSURER&: Nationwide Mutual Insurance Company Writing Co INSURED INSURER B: Nationwide Agribusiness 28223 Lambland,Inc. INSURER C: 16350 CR 76 INSURER D: INSURER E: Eaton CO 80615 INSURER F: COVERAGES CERTIFICATE NUMBER: Master 25-26 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. TR INSD WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY EACH OCCUE S 1,000,000 DAMAGE RRENC nJ CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 A Y CPP125254A 04/26/2025 04/26/2026 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000,000 POLICY ❑PRO- ❑ 2,000,000 JECT LOC PRODUCTS-COMPlOPAGG S OTHER: Employee Benefits s 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED Y CPP125254A 04/26/2025 04/26/2026 BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident Medical payments 5 5,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE s 5,000,000 B EXCESS LIAR HCLAIMS-MADE CU125254A 04126/2025 04/26/2026 AGGREGATE S 5,000,000 DED I X1 RETENTION S 0 s WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNELEXECUTIVE ElN/A E.L.EACH ACCIDENT S OFFICER)MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City,its officers,agents and employees shall be named as additional insured on the Service Provider's general liability and automobile insurance policies for any claims arising out of work performed under this agreement. The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled except after thirty(30)days written notice has been received by the City of Fort Collins. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins Attn:Financial Services ACCORDANCE WITH THE POLICY PROVISIONS. BOX 580 AUTHORIZED REPRESENTATIVE FortCollins CO 80522-0000 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds Al Organics, Inc. Additional Named Insured WYA Properties, LLC Additional Named Insured OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date Crime&Fidelity Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 100,000 Ref# Description Coverage Code Form No. Edition Date Non-owned NOWND Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Uninsured motorist combined single limit UMCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Underinsured motorist combined single limit UNCSL Limit 1 it 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Hired/borrowed HRDBD Limit 1 it 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 2,500 Ref# Description Coverage Code Form No. Edition Date Limit 1 it 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount 7eductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001,AMS Services,Inc.