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Home My WebLink AboutK S CONSTRUCTION - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE of/26/� 2004 PRODUCER (303) 776-5122 FAX (303) 776-5495 First Mai nStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO 80502 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC S INSURED K & S Construction Inc. DBA: Wards Landscaping 9165 Nelson Rd Longmont, CO 80503 INSURERA: Auto -Owners Insurance INSURERB: Pinnocal Assurrance INSURER C: INSURER D: INSURER E: CAVFRArFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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. INSR AWL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR 4539930102 02/13/2004 02/13/2005 EACH OCCURRENCE E 1,000,000 DAMAGE TO RENTED E 10-0,000 MED EXP (Any one person) E 5 0 PERSONAL & ADV INJURY E 1,000,00( X Contractual GENERAL AGGREGATE E 2 NO 00 GENT AGGREGATE LIMIT APPLIES PER: X POLICY JERCOT- LOC PRODUCTS - COMP/OP AGG E 2,000,00( A AUTOMOBILE UAM TTY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4339930101 02/13/2004 02/13/2005 COMBINED SINGLE LIMIT (Ea accident) E 1,000,000 X BODILY INJURY (Per pef8on) E X BODILY INJURY (Per accident) E X PROPERTY DAMAGE (Per accident) E GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG E E A EXCESEAMIRELLA LIABILITY X OCCUR FICLAIMS MADE DEDUCTIBLE RETENTION E 4339930100 02/13/2004 02/13/2005 EACH OCCURRENCE E 1,000,000 AGGREGATE $ E E E B WORKERS COMPENSATION AND EMPLOYERB' TORIP UANUTY ANY PROPRIETORIPARTNERIEXECUTNE OyFeFSICEwMEMBER EXCLUDED? Mdesoribe under SPECIAL PROVISIONS below 9116642 OFFICERS EXCLUDED 02/23/2004 02/01/2005 WC STATULIMIT- OTH- FR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE E 11000,000 E.L. DISEASE - POLICY LIMB E 1 000 00 A OTHER DESCRIPTION OF OPERATIONS / / VENCLES / LU810NS �Eo BYE HIEM NT / PROVISIONS ertT icate Holder�is� Fisted as Additional Insured per torn CG2012 City of Fort Collins 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 LWL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY ACORD 25 (2001108) ®ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE of/26/"""N 20 4 PRODUCER (303) 776-5122 FAX (303) 776-S49S First Mai nStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO 80502 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 0 INSURED K III S Construction Inc. DBA: Wards Landscaping 916S Nelson Rd Longmont, CO BOS03 INSURERA: Auto -Owners Insurance INSURERS: Pinnocal Assurrance 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. NOTW ITHSTANDINt 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. INSR AWL hm TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONAM LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX OCCUR 4S39930102 02/13/2004 02/13/200S EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED E 1-0,000 MED EXP (Any one person) E S 1 001 PERSONAL & ADV INJURY E 1,000,00( X Contractual GENERAL AGGREGATE E 2,000,00( GENL AGGREGATE LIMIT APPLIES PER: X POLICY J� LOC PRODUCTS - COMP/OP AGO E 2,000,00( A AUTOMOBILE LUUNLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4339930101 02/13/2004 02/13/2005 COMBINED SINGLE LIMIT (Eeaccident) E 1 000 00 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) E X PROPERTY DAMAGE (Par accident) E GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG E E A EXCESSNMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E 4339930100 02/13/2004 02/13/200S EACH OCCURRENCE E 1,000,000 _ AGGREGATE E E E E B WORKERS COMPENSATION AND ANY PRO RIETORILITY ANY PROPRIETORIPARTNERIE)CECUTNE OFFICER/MEMBER EXCLUDED? If yet describe under SPECIAL PROVISIONS below 9116642 OFFICERS EXCLUDED 02/13/2004 02/01/2005 WCEMPLOYSTATU- OTH- E.L. EACH ACCIDENT s 1,000,00( E.L. DISEASE - EA EMPLOYEE E 1,000,00 E.L. DISEASE -POLICY LIMB E 1 000 OO A OTHER DESCroRrP1�11ooNN OF OPERATIONS / LQCATIONS / / ADDED BY I SPECIAL erMicate Holder is list er A dLiltiSonal Insured or Gener�ility per Auto Owners form S5202 Project: Sheldon Lake Landscape Improvements SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Ft. Col l l ns 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 21 S N . Mason St. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P 0 BOX S80 OF ANY I ND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ft. Collins, CO 8OS22-OS80 Aun4oF=WREPRESENTATIVE AGUN:o 23 (200198) GACORD CORPORATION 1988