HomeMy WebLinkAboutA M LANDSCAPE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR BE
DATE(MWOONYYY)
I
A&MLA-1
06 06 05
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Six & Geving/Denver Office
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
225 Union Blvd. #575
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lakewood CO 80228
Phone: 720-962-0930 Fax:720-962-0942
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Allied Insurance Group42579
A & M Landscape Inc.
Allen Winter
INSURER B: Pinnacol Assurance
INSURER c:
2417 E . Mulberry
Ft. Collins CO B0524
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 CONTRACTOR 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.
lNbK
LTR
AUU
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/D
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
ACP7540917911
05/27/05
05/27/06
EACH OCCURRENCE
$ 1000000
PREMISES(' Ea0CWTence)
$100,000
MED EXP (Any one Person)
s5,000
PERSONAL &ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
GENT AGGREGATE LIMIT APPLIES PER:
F—IPOLICYF—] PRO-
JECT LOC
PRODUCTS-COMP/OP AGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP7540917911
05/27/05
05/27/06
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
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
WORKERS COMPENSATION AND
EMPLOYB ANY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4061794
09/01/04
09/01/05
TORY LBAITS ER
E.L. EACH ACCIDENT
s500000
E.L. DISEASE - EA EMPLOYEE
$ 500000
E.L. DISEASE -POLICY LIMIT
i $500000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
ALL PROJECTS/ALL LOCATIONS.
CERTIFICATE HOLDER
CITY OF FT. COLLINS
PURCHASING OR RISK MGMT.
P.O. BOX 580
FT. COLLINS CO 80522
FTCOL-1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO'
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES. A
ACORD 25 (2001108)