HomeMy WebLinkAbout288497 ALPINE HILL PRUNING CO - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID A
DATE(MM/DDIYYYI')
ALPIN-1 1 12/17/04
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
INSURERA. St Paul Insurance
INSURER B. Plnnacol Assurance
INSURER C:
INSURER D:
INSURER E.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 (MMIDDfYY)
DATE (MMIDD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 500000
A
X COMMERCIAL GENERAL LIABILITY
CK08101201
12/17/04
12/17/05
PISES(Ea oc'ccE REMurence)
$100000
CLAIMS MADE OCCUR
MED EXP(Any one person)
$5000
PERSONAL & ADV INJURY
$ 500000
GENERAL AGGREGATE
$ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
$ 1000000
POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CK08101201
12/17/04
12/17/OS
COMBINED SINGLE LIMIT
(Ea accident)
$ 500000
BODILY INJURY
(Per person)
$
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY. AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
2270032
04/01/04
04/01/05
TORY LIMITS ER
EL EACHACCIDENT
$ 100000
EL.DISEASE - EA EMPLOYEE
$100000
OFFICER/MEMBER EXCLUDED?
Ir yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
Is500000
OTHER
A
Property Section
CK08101201
12/17/014
12/17/05
A
Equipment Floater
ICK08101201
12/17/04
12/17/05
DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
FTCPSJRC
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 of Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing
PO Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522-0580
REPRESENTATNES.
AUTHO PRESENTATNE
1
a.
ACORD 25 (2001108) ® ACORD CORPORATION 1998