HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (3)Client#: 39557
LLLAN
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE
4110/071DDmrr)
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
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
L & L Landscape, Inc.
LRD, Inc. dba
POBox 62
INSURERA: United Fire & Cas.
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
Windsor, -CO 80550
INSURER E:
COVERAGES
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE DDm
POLICY EXPIRATION
DATE (MMIDDIYYI
LIMITS
A
GENERAL LIABILITY
60066660
04/20/07
04/20/08
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE u OCCUR
DAMAGE TO RENTED
$1 OO OOO
MED EXP (Any one person)
a5 OOO
PERSONAL &ADV INJURY
$1000000
X PD Ded:250
GENERAL AGGREGATE
a2 000 OOO
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2000000
1-1 POLICY PRO-
JECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
60066660
04/20/07
04/20/08
COMBINED SINGLE LIMIT
(Ea accident)
$SOO ,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIREDAUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR F1 CLAIMS MADE
a
DEDUCTIBLE
$
RF.TFNTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4032158
08/01/06
08/01/07
X I ORWCSTATU- OTH-
E.L. EACH ACCIDENT
$1 00-O 0-0-0
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
E1 OOO OOO
E.L. DISEASE - POLICY LIMIT
$1 000 000
SPECIAL PROVISIONS below
A
OTHER Leased/Rente
60066660
04/20/07
04/20/08
$35,000 ACV
I
$500 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as additional insured (Excluding workers
compensation).
The following cancellation conditions always apply:
- 10 days for non-payment of premium
(See Attached Descriptions)
City of Fort Collins
Purchasing Dept.
P O Box 580
Ft Collins , CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AD_ 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 REPRESENTATTIVE/_ - y-
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_.-_ __ I ---- ,_v, 1 VI a SXC 0 ACORD 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.
-- L V1 J 1FaJ// 191/M3r/l33
DESCRIPTIONS (Continued from Page 1)
- If policy shown, 10 days for Workers' Compensation for fraud; material
misrepresentation; non-payment of premium; other reasons approved by the
Commissioner of Insurance
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