HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATEACORDrCERTIFICATE
PAGWCER
OF LIABILITY INSURANCE
Flood d Peterson Insurance Inc
4821 Wheaton Drive
THIS CER CWCATEE 13 OUED S UI
P
HOLDER THIS CERTIFICATE DOES
ALTER THE COVERAGE AFFORDED
Fort Collins,sBox
, CoC80527 O
INSURED
INSURERS AFFORONIO COVERAGE
L a L Landscape, Inc.
MWRER A: United Fire 3 Ces.
LRD, Inc. dba
INSURERS: Pinnacd AasurenCe
P 0 Box $2
MSURER C:
Windsor,60 80550
INSURERD
A I BRLTr
X COMMERCIAL GENERAL LIAHN
CLAWS MADE U OCCUR
X PD Detl:25_� p
w-
A
ALL OWNED AUTOS
SCHEWLED AUTOS
HIREDADTOS
NON-DWWDAUTOS
OCCUR u CWMS WDE
DEDUCTIELE
RETENTION f
MnRKEM COMPENSAnOM ANG
EMPLOTERR' UAwL"
'W Y PROPRIETGRPARTNERe EXECUTIVE OFFK:ERAIEM O E%CLUDEG?
A
BY
BY
coOmpenmpon saa tion). holder is named as additional insured (Excluding rs
The following cancellation conditions always apply:
10 days for non-payment of premium
(Sn Attached Descriptions)
04/20/07 104/20ro8
DATEp7n`v yn
4/1aro
)RMA7ION
ICATE
TEND OR
(E ePFCIO M� INGLE'-IT j500r000
MO ILYN,I)NRY f
B(v.rODILY IMNRy
.a+asnt)
(PROPE�pAMAGE f
AUTO WLr-EA ACCIDENT j
OTHER THAN EA ACC f
AUTOONLy:
470,000 ACV
$500 Dad
CNy of For Collina °10 ANT' of rNE Asave D¢acglsED POLK:es k CANCELLED REPae¢ THE ExPNiATKM Purchasing Dept. DArE TxEREOP. THE "U"s M"RER WL ENaEA To ML
POBox 380 Nonce TO THE DERnPticATE ill- DAra wRIiTLM
HOLDER NAMED TO THE LEFT. OUT FAILURE TD DD b RMA4
Ft Collins ,CO 80522 RIPURE MO°�O'L�DR UAMIUW W ANr"a UPM THE ff4MER RE AOENTS oR
REPREfENTAlryts,
AUnpRQED REPsx," �LTIME
oo1ros11 of3 F/eeoL r /tJtlS*^j ZAA#f✓,rA.yUL .Zve.
k3377741/U377135
SXC 0 ACMn
IMPORTANT
If Ile certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. A statement
on this Certificate does not confer rights to the cerimeate holder in lieu of such endorsement(a).
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 Policy.
c to
holder in lieu of such endorsement(s). the certificate
DISCLAIMER
The Certificate of Insurance an the reverse side of this form does not constitute a contrail
the issuing insurar(s)I authorized representative or producer, and the certificate
affirmatively or n alive bece" eg lively amend, extend or alter the cove holder, nor does it
rage afforded by the policies listed thereon.
2 of 3 At8377U1/IH377135
DESCRIPTIONS (Continued from Page 1)
• ti repro shown, 10days for Workers' Compensation for fraud;
misrepresentation; non-payment of premium; material
COmmiastoner of Insurance other reasons approved by the