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HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (11)ACORD- CERTIFICATE OF LIABILITY INSURANCE IF 10/E 003 Y' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W.18th Street Greeley, CO 80632 INSURED LRD, Inc. dba L & L Landscape, Inc. P O Box 62 Windsor, CO 80550 Vwv& wmo INSURERS AFFORDING COVERAGE INSURERA: 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 POLICY EFFECTIVE DATE MWDD POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 60066660 04/20/03 04/20/04 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY r� CLAIMS MADE U OCCUR DAMAGE TO RENTED PREMI $jEa occurterly� $100,000 _ _ _ MED EXP (Any one person) $5 000 X PD Ded:250 PERSONAL 8 ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 OOO OOO PRoT POLICY EC LOC J EC A AUTOMOBILE LIABILITY ANY AUTO 60066660 04/20/03 04/20/04 COMBINED SINGLE LIMIT (Ea accident) $500,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ B EMPLOYERS' LIABILITY WORKERS COMPENSATION AND 4032158 08/01103 08/01 /04 WC STATU- OTH- X I - E.L. EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $1 OO,000 E.L. DISEASE - POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as Additional Insured. I:ANLaLLA I ION 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 -10_ 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 OBLIG/InON OR LIABILITY OOF• ANY KIND UPO/N� THE INSURER, ITS AGENTS OR Ft Collins , CO 80522 REPRESENTAIJV ` \ / ( AUTHORIZED ACORD 25 (2001/08) 1 of 2 #S261223/M261214 KLB © A CORPORATION 1988