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HomeMy WebLinkAboutK S CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORP. CERTIFICATE OF LIABILITY INSURANCE 02/10/z 0 ) PRODUCER (303)776-5122 FAX (303)776-S495 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Mai nStreet Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR S12 4th Avenue P.O. Box 947 Longmont, CO 80S02 INSURED K & S Construction Inc. DBA: Wards Landscaping 916S Nelson Rd Longmont, CO 80SO3 V INSURERS AFFORDING COVERAGE INSURERA: EMC Ins, CO. INSURERS: Pinnocal Assurrance INSURERC: Auto Owners Ins. INSURER D: INSURER E: NAIC # 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 IkDO'L iNqRCDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMUtDDfYYI POLICY EXPIRATION DATE IMMIDDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 0OX88193S 02/13/2005 02/13/2006 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual Incl. GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,00 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREOAUTOS NON -OWNED AUTOS 4339930101 02/13/2005 02/13/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4077876 OFFICERS EXCLUDED 02/01/2005 02/01/2006 ATU- TH- WCSTLl ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICV LIMIT $ 1 OOO OO , OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is listed as Additional Insured for General Liability per EMC form CG7482 Project: Sheldon Lake Landscape Improvements City of Ft. Collins 21S N. Mason St. P 0 Box S80 Ft. Collins, CO 80522-OS80 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Debbie McGee/DEBMC ACORD 25 (2001/08) ©ACORD CORPORATION 1988