HomeMy WebLinkAbout125758 FULLER LANDSCAPING - INSURANCE CERTIFICATE (2)COLORA.DO-BW INSURANCE Fax 19702672231
ACORIZ CERTIFICATE OF LIABILITY INSURANCE
'RoaucER (970)223-0924 FAX (970)267-2231 THIS CERTIFICATE IS ISSUED
Colorado BW Insurance Agency, Inc. ONLY AND CONFERS NO RIGI
1075 W Horsetooth Rd, Ste 106 HOLDER. THIS CERTIFICATE I
Fort Collins, CO $0526
INSURED FuI ter LanascapTn
4836 Kiva Drive
Laporte, CO 90535
May 1 2007 03:09pm P001 y2m
I DATE (MW
A MATTER OF
UPON THE CE
ES NOT AMEN[
INSURERS AFFORDING COVERAGE I NAIL 0
INSURERA Colorado Casualty Insurance 141795
INSURER B:
INSURER C;
INSURER D:
INSURER E:
VWV&
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
BIER
AWLTYPE
OF INSURANCE
POLICY NDYBER
POLICY EFF90TWE
POLICY EXPIRATION
LETS
GENERAL LIABILITY
AP053542706
04/24/2007
04/24/2008
EACH OCCURRENCE
S 1,000, ON
DAMAGE TO RENTED
= 50
X COMMERCIAL GENERAL LIABILITY
_
MEO EXP (Arty am Deleon)
$ slow
CLAIMS MADE rX] OCCUR
PERSONAL A ADV INJURY
$ 1,000 00
A i
X
GENERAL AGGREGATE
S 210001
GEPTL AGGREGATE UMITAPPURS PER:
PRODUCTS, COMPIOP AGO
S 2 000,00
POLICY jE� LOC
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Ea accident)
S �—
BODILY INJURY
(Per P—on)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per aoidenU
S
HIRED AUTOS
NOWOWNED AUTOS
rROPERTYDAMAGE
(Per aeddentl
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
4
OTHERTHAN EA ACC
$
ANYAUTO
3
AUTO ONLY: AGO
EXCE881UMBRELLA LIABILITY
EACH OCCURRENCE
S
AGGREGATE
i
OCCUR CLAIMS MADE
i
S
DEDUCTIBLE
d
RETENTION S
WORKERS COMPENSATION AND
WCSTATU-
E.L. EACH ACCIDENT
S
EMPLOYERS' UABIL IrY
ANY PROPRIETORIPARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLO 14
$
OFFICEPJMEMBER EXCLUDED?
If yea, d"aMba under
SPECIAL PROVISIONS blow
E.L. DISEASE - POLICY LIMB
1 Y
OTHER
DESCRIFTION QF OPERATIONS I LOCATIONS I VEfIO1.ES / EXCLUSIONSADDED BY ENDORBEMENT I SPECIAL PROVISIONS
he certificate holder is named as an Additional Insured.
City of Fort Collins
Purchasing Department
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER 1MLL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO ►IAS. SUCH NOTICE SHALL IMPOSE NO OeILIGATION OR LIAMLITY
OF ANY KIND UPON THE INS2ft Re AGENTS OR REPRESENTATNES.
ACORD 25 (2001/08) FAX: 221-5707 \-,/ J " OACORD CORPORATION 1938
COLORADO-BW INSURANCE Fax 19702672231 May 1 2007 03:10pm P002/002
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the poky(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)