HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (8)DATE
ACORD,M CERTIFICATE OF LIABILITY INSURANCE 07/14/04onvvv)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4821 Wheaton Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURED
L & L Landscape, Inc.
LRD, Inc. dba
P O Box 62
Windsor, CO 80550
GE
INSURERS AFFORDING COVERAGE
INSURER A: United Fire & Cas.
INSURERB: Pinnacol Assurance
INSURER C:
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MWDDNY
LIMITS
A
GENERAL LIABILITY
60066660
04/20/04
04/20/05
EACH OCCURRENCE
$1 000 000
DAMAGE TO RENTED n
$1 OO OOO
LIT
X COMMERCIAL GENERAL LIABIY
MED EXP (Any one person)
$5 000
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$1 OOO 000
X PD Ded:250
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
60066660
04/20/04
04/20/05
COMBINED SINGLE LIMIT
$SOO,000
ANY AUTO
(Ea accident)
BODILY INJURY
$
ALL OWNED AUTOS
X
SCHEDULEDAUTOS
(Per person)
X
BODILY INJURY
$
HIREDAUTOS
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
4032158
08/01/04
08101/05
X RY WC LIMIT OTH-
E.L. EACH ACCIDENT
$100 000
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYE
$100,000
E.L. DISEASE -POLICY LIMIT
$500,000
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as Additional Insured.
City of Fort Collins
Purchasing Dept.
P O Box 580
Ft Collins , CO 80522
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 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
ACORD 25 (2001/08) 1 of 2 #S288496/M288494
JGH O ACORD CORPORATION 1988