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Home My WebLink AboutLEON BACKHOE SERVICE TRAILS END LANDSCAPING - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OPID DA7E(MM/DD YYYY) LEO1 01 04 06 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Henry Ham Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 100547 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 645 E . Evans Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80250 Phone: 303-744-1341 Fax:303-744-0654 INSURERS AFFORDING COVERAGE NAIC # INSURED Leon Backhoe Service, Inc. INSURERA: EMC Insurance Co. INSURERB: Pinnacol Assurance Trails End Landscaping Materials P.O. BOX 321 353 North Ash Street Keenesburg CO 80643 INSURER C: INSURER D: INSURER E: COVERAGES 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. INbK LTRINSRE RVV'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/VY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1K OCCUR X Blk Addl Insd 3XO-14-78 04/01/05 04/01/06 EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO LOC JECT PRODUCTS - COMPIOP AGG $ 2 , 000 , 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 3X0-14-78 04/01/05 04/01/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 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 OFFICERIMEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below 4043267 04/01/05 04/01/06 X TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 A OTHER Contractors Equip Leased from Others 3X0-14-78 3XO-14-78 04/01/05 1 04/01/05 04/01/06 1 04/01/06 Equip $274,496 1 Leased $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is listed as an Additional Insured as respects general liability coverage. ucm I IriI A r C MUL VCR 1,A1\IiC:LLM 11V1\ CITF002 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO/ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Engineering Department P 0 Box 580 REPRESENTATIVES. Fort Collins CO 80522-0580 AUT ZED REPRESENT�TVE