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102136 KORBY LANDSCAPE LLC - INSURANCE CERTIFICATE
ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATizzs2007 PRODUCER Phone 720-%2 8700 Fax 720-962-8800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CENTENNIAL INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6901 S PIERCE STREET, #233 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LITTLETON CO 80128 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA PlnnacQl _ KOR13Y LANDSCAPING LLC & KOREY SOD, LLC INSURER B 3201 E MULBERRY STREET UNITS INSURER C FORT COLLINS CO 80524 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A90VE 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 ALLTHE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS NSR ADDL TYPE OF INSURANCE LTAIN@ROi POLICY NUMBER Poucv EFEEcnvE DATE MMIDDIYY PoucY ExPIRAnpN pATE MM/ppFOY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 7 CLAIMS MADE El OCCUR EACH OCCURRENCE It DAMAGE TO RENTED PREMISES (En occu ce) o MED EXP(A., one person) $ PERSONAL 8 ADV INJURY $ OENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRO- -7 POLICY n JECT F__� LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per acclden) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO ONLY - EA ACCIDENT $ iAUTO OTHER THAN EA ACC AUTO ONLY AGG It $ EXCESS UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION$ I EACH OCCURRENCE $ AGGREGATE $ I {$ I$ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE oFFlcewMEMBER EXCLUDED? SPECIAL PRO ISIONunde SPIf ECIAL de PROVISIONS below 4069181 05/01/07 05/01/08 X CSTATU OTHER _ EL EACH ACCIDENT $ 1QQr000 E L DISEASE -EA EMPLOYEE $ 100,000 EL DISEASE -POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CO CITY OF FORT COLLINS P O BOX 580 FORT COLLINS, CO 80522 FAX # 970-221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER IT S AGENTS OR REPRESENTATIVES Attentuon ACORD 25 (2001/0B) Certificate # 26273 S Carter © ACORD CORPORATION 1988