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HomeMy WebLinkAboutQUARTER CIRCLE MONARCH LANDSCAPE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DDNYYY) DART-1 09 30 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1109 Oak Park Drive Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone: 970-223-1804 INSURERS AFFORDING COVERAGE 1 NAIC # INSURED j INSURER A: Allied Insurance i uarter Circle P dba Monarch INSURER B: Pinnacol Assurance Q- Landscape M t - Mike Puleo INSURERC. P. O. BOX 1 26 INSURER D. Fort Collins CO 80522 ---- -- 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. IMSR_— _.__ _ __ _-_ . - _.. I POLICY EFFECTIVE'FOLICYEXPIRATKW _. _ .. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY ACP 7521190315 10/01/04 10/01/05 PREMISEES Eaoccuence) $ 100,000 - CLAIMS MADE I $ OCCUR P Any one MED EX(p - $ 5,000 _ PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE } s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 _. I PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 r r A ANY AUTO ACP 7521190315 10/01/04 lwl/OS (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) - - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENTi $ ANY AUTO t_ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2000000 A Ii X OCCUR CLAIMS MADE ACP 7521190315 10/O1/04 10/01/05 AGGREGATE $ 1 $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITORY LIMITS ER EMPLOYERS' LIABILITY B ANY �4063235 - 11/02/03 11/02/04 - I E.L. EACH ACCIDENT $ lOOOOO PROPRIETOR/PARTNER/EXECUTIVE I OFFICERIMEMBER EXCLUDED? _ _ ' E.L. DISEASE - EAEMPLOVEE. $ 100000 I yyes, describe under SPEGIALPROVISIONS below � I EL DISEASE - POLICY LIMIT $ 500000 OTHER A Property Section ACP 7521190315 10/01/04 10/01/05 A Equipment Floater JACP 7521190315 10/01/0410/01/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 111744:1:i 01y179TA 1 =1:r"*I=[ f"1 54y1wvdirel! FORTCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL Street Department 215 N. Mason St., 2nd Flr. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80521 REPRESENTATIVES. AUTN EPRESENTATIVE ACORD 25 (2001103) © ACORD CORPORATION 1988