HomeMy WebLinkAbout288497 ALPINE HILL PRUNING CO - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDD/YYYY)
ALPIN-1 1 05 25 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 #
INSURED INSURER A: St Paul Insurance
Alpine Hill Pruning Company INSURER B. Plnnacol Assurance
Mickey Hill INSURER C
P.O. BOX 8254 INSURER D.
Fort Collins CO 80526 MAY 2 6 2004
INSURER E.
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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.
INSR A SRD TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POL7CYFXPIFiATION
DATE MLIIDD/YY LIMITS
GENERAL LIABILITY
i EACH OCCURRENCE
$ 500000
A X COMMERCIAL GENERAL LIABILITY CK08101201
12/17/03
DAMAGE TORENTED
12/17/04 i PREMISES (Ea occurence)
$ 300000
CLAIMS MADE X OCCUR
i MED EXP (Any one person)
$ 10000
_
PERSONAL B ADV INJURY
$ 500000
GENERAL AGGREGATE
$ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 1000000
POLICY PRO-
JECT LOC
AUTOMOBILE LIABILITY
'COMBINED SINGLE LIMIT
$ 500000
A ANY AUTO CK08101201
12/17/03
(EaCO accident)
12/17/04
ALL OWNED AUTOS
BODILY INJURY
X SCHEDULED AUTOS
(Per person)
$
HIRED AUTOS
BODILY INJURY
$
'. NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE',
$
DEDUCTIBLE
''. RETENTION $
$
WORKERS COMPENSATION AND
V717-STATu- Ulm -
TORY LIMITS ER
B EMPLOYERS'LIABILITY 2270032
ANY PROPRIETOR/PARTNER/EXECUTIVE
04/01/04
04/01/05 E.L. EACH ACCIDENT
$100000
OFFICER/MEMBER EXCLUDED?
_ _
_. E.L. DISEASE - EA EMPLOYEE $ 1 OOOOO
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ 500000
OTHER
A Property Section CK08101201
12/17/03
12/17/04'''
A Equipment Floater CK08101201
12/17/03,
12/17/041
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
FTCPURC 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 REPRESENTATIVES.
ACORD 25 (2001/08)
I QRA