HomeMy WebLinkAbout126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (8)y
ACORD CERTIFICATE OF LIABILITY INSURANCE CSR BE DATEIMM/DDIYYYY)
A24LA-1 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 #
A & M Landscape Inc.
Allen Winter
2417 E. Mulberry
Ft. Collins CO B0524
INSURER A: Allied I
INSURER B: Pinnacol
INSURER C:
INSURER D:
INSURER E:
42579
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
DATE MMIDDIYY
DATE MM/DDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
ACP7540917911
05/27/05
05/27/06
PREMISESEaoccurence)
$100,000
MED EXP (Any one person)
$ 5 r 000
PERSONAL &ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
$2000000
17 POLICY PRO-
JECT El LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
ACP7540917911
05/27/05
05/27/06
CO BIKED
(EaCOMBINED SINGLE LIMIT
$1r OOD 0
r 00
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR F—ICLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
S
DEDUCTIBLE
S
RETENTION $
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
4061794
09 01
/ /04
09/01/05
TORY LIMITS ER
E.L. EACH ACCIDENT
$500000
OFFICERIMEMBER EXCLUDED?
S yECLAL PROVISIObe NS
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYEE
$500000
E.L. DISEASE - POLICY LIMIT
$500000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
ALL PROJECTS/ALL LOCATIONS.
,FTCOL-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF FT. COLLINS
PURCHASING OR RISK MGMT.
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. BOX 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FT. COLLINS CO 80522
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sandra Ara on
cv ca JAVU-11vo) 1. 7
(%RD C7rI09-1988