HomeMy WebLinkAbout288497 ALPINE HILL PRUNING CO - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDNYYY)
ACORD
ALPIN-1 03 23 05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1109 Oak Park Drive Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone : 970-223-1804 INSURERS AFFORDING COVERAGE NAIC #
Alpine Hill Pruning Company
Mickey Hill
P.O. Box 8254
Fort Collins CO 80526
COVERAGES
INSURER A: St Paul Travelers Insurance
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
INSURER E:
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
DATE MMID
DATE M
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1XI OCCUR
CK08101201
12/17/04
12/17/05
EACH OCCURRENCE
$ 500000
EN I Liu
PREMISEES(Ea occurence)
$ 100000
MED EXP (Any one Person)
$ 5000
PERSONAL B ADV INJURY
$ 500000
GENERAL AGGREGATE
$ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO
JECT LOC
PRODUCTS-COMP/OP AGG
$ 1000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CFC08101201
I
12/17/04
12/17/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 500000
BODILY INJURY
(Per Person)
$
X
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILRY ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Use, describe under
SPECIAL PROVISIONS below
2270032
04/01/05
04/01/06
TWC LIMBS ER
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYEE
$ 100000
E.L. DISEASE -POLICY LIMIT
1 $500000
A
A
OTHER
Property Section
Ecrulpment Floater
CK08101201
CR08101201
12/17/04
12/17/04
12/17/05
12/17/05
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
j TCpURC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City OP Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL
Purchasing
PO Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
Fort Collins CO 80522-0580
REPRESENTATIVE&
AUTH PRESENTATIVE
G. u/
ACORD 25 (2001108) 0 ACORD CORPORATION 1988