HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (2)Client#: 39557
LLLAN
ACORD- CERTIFICATE OF LIABILITY
INSURANCE
DDIYYYY)
7114106
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
P O Box 270370
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
L & Landscape, Inc.
LRD,Inc. dba
P O Box 62
INSURER A: United Fire & Cas.
INSURER B: Pinnacol Assurance
INSURER C:
NSURER D:
Windsor, CO $0550
INSURER E:
UUVEKAUES
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.
INSR
LTR
ADD'
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDNY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
A
GENERAL LIABILITY
60066660
04/20/06
04/20/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
PREMISES RENTED
.WcurraX
MED EXP (Any one person)
$100000
$5 000
PDDed:250
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
s2.000.000
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY PE O LOC
A
AUTOMOBILE
LIABILITY
ANYAUTO
60066660
04/20/06
04/20/07
COMBINED SINGLE LIMIT
(Ea accident)
$500,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
X
HIREDAUTOS
X
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
RAUTO
$
1
ONLY: AGO
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
DEDUCTIBLE
$
Is
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYDRY
4032158
08/01/06
08/01/07
X WC STATU- O7H-
E.L. EACH ACCIDENT
$1 000000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
ai 000 000
E.L. DISEASE -POLICY LIMIT
91000000
SPECIAL PROVISIONS below-T
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as additional insured (Excluding workers
compensation).
(See Attached Descriptions)
City of Fort Collins
Purchasing Dept.
P O Box 580
Ft Collins , CO 80522
e^^.n n. inn......,
LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'A0_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
FFJ000t 'r Otrle�to^J ri✓t✓r aa/ye , Ti.+C.
yr ., rfJJ.7L2lLD/MJOG`JC9 SXC 0 AGORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(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.
^- -� _ �---••��i c Or 3 FF.130Z`3Z61M30Z`JZ4
dI k"RIPTIONS (Crpn ireue.,d from Pale 1)
The following cancellation conditions always apply:
-10 days for non-payment of premium
- If policy shown, 10 days for Workers' Compensation for fraud; material
misrepresentation; non-payment of premium; other reasons approved by the
Commissioner of Insurance