HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (9)t;Henr: scoot LLLAN
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE
4/21/2004 (MIWDDNYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
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
CAVFRAr:FS
INSURER A: United Fire & Cas.
INSURER B: 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
DATEPOLICYMM/DDIYYE
POLICY
DATE MMIDDIYY EXPIRATION
LIMITS
A
GENERAL LIABILITY
60066660
04/20/04
04/20/05
EACH OCCURRENCE
$1 00Q 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
DAMAGE TO
AMAGETO RENTEDPREMISES (Ea occurrence)
$100 000
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 000 000
X PD Ded:250
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 000 000
17 POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
60066660
04/20/04
04/20/05
COMBINED SINGLE LIMIT
(Ea accident)
$500,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
4032158
08/01/03
08/01/04
X WC STATU- OTH-
CRYEEL
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
OFFICER/MEMBER EXCLUDED?
If yes, describe uner
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as Additional Insured.
a.r�n „r,v�+r� nvwon
M/ilYI�CLLHI IVry
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
Purchasing Dept.
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P O Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ft Collins , CO 80522
REPRESENTATIVES.
r...... �.. .... ��vv ..vv! MAL 171fla Il dIF V4L0 rmr% V ^I wmu VVRrVR/1 11w" -I3W0