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Home My WebLink About102136 KORBY SOD AND LANDSCAPING - INSURANCE CERTIFICATEnI .,I-�. 17171a unRan *RD. CERTIFIC VE OF LIABILITY INSU i, NCE 04/(28/99 PRODUCER Flood & Peterson Ins Inc. P. O BOX 578 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 4687 W. 18th Street Greeley, CO 80632 INSURERS AFFORDING COVERAGE INSURED Korby' s Sod Service INSURERA Continental ,`Westiirri-. INSURER 8 Colorado Compens tion�:Authority Steve and April Korby DBA P C BOX 989 Wellington, CO 80549 INSURERC INSURER f —I"17 1 INSURERE 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 IITR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA710 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X PD Ded:SOO H7399 04/28/99 04/28/00 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Anyone fire j$ 250 000 VIED EXP(Anyone person) $ 5 000 PERSONAL& ADV INJURY $1 000,000 GENERAL AGGREGATE $2 000 000 GENL AGGREGATE LIMITAPPLIESPER POLICY PRO LOC PRODUCTS-COMP,OPAGG $2 000 000 A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS H739921 04/28/99 04 /28/00 COMBINED SINGLE LIMIT (Eaaccident) fl, 000, 000 X BODILYINJURY (Per person) It X BODILYINJURY (Peraccldent) $ X PROPERTY DAMAGE (Per accident) It GARAGE LIABILITY ANY AUTO AUTOONLY-EAACCIDENT $ OTHER THAN EAACC AUTOONLY AGO $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE Is AGGREGATE $ f $ $ B WORKERS COMPENSATION AND EMPLOYER6LIABILITY 4019244 04/28/99 04/28/00 WC STATU- O;H- X ITORYLIMITS PR EL EACH ACCIDENT $100 000 ELDISEASE-EAEMPLOYE $100 000 EL DISEASE -POLICY LIMI $500 , 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS AO DED BY ENDORSEMENT/SPECIAL PROVISIONS City of Ft. Collins 256 W. Mountain BOX 580 Fort Collins, CO 80521 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATETHEREGF,THEISSUING INSURER W ILLENDEAVOR TO MAIL3-0_ DAYS WRITTEN NOTICETOTHE CERRFICATE HOLDERNAMEDTOTHE LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTS OR AUTHORIZED REPRESENTATIVE ACORD25-S(71B7)1 of 2 #M128020 K1,13 0ACUHDUU14YUHAnvN1958