HomeMy WebLinkAboutA M LANDSCAPING - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR BE DATE(MMIDDIYYYY)
ASMLA-i 1 09 20 05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Six 6 Gevinq/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 9
INSURED INSURERA Allied Insurance Group42579
A S M Landscape Inc. INSURER B: Pinnacol Assurance
Allen Winter INSURER C:
2417 E . Mulberry INSURER D:
Ft. Collins CO 50524
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE M
POLICY EXPIRATN
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
ACP7540917911
CONTRACTUAL LIABILITY
05/27/05
05/27/06
EACH OCCURRENCE
$1000000
PREMISES (Ea oaurence)
$100,000
MED EXP (Any one person)
s 5 OOO
PERSONAL B AIYV INJURY
$1000000
GENERAL AGGREGATE
s 2000000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X JECT LOC
PRODUCTS -COMPIOP AGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWMED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP7540917911
05/27/05
05/27/06
COMBINED
(EamockwISINGLELIMIT
$1,000,000
X
BODILY INJURY
(Permow)
$
BODILY INJURY
(Per acadenl)
s
PROPERTY DAMAGE
(Per eccideM)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
S
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR �CLAIMSMADE
ODEDUCTIBLE
X RETENTION $10 000
ACP7540917911
08/02/05
05/27/06
EACH OCCURRENCE
$1 , 000 , 000
AGGREGATE
$1,000,000
s
$
$
B
WORKERS COMPENSATION AND
EMPLOYERLIABILITY
ANY PROPRIETORIIETORIPARTNERIEXECUTA/E
OFFICER/MEMBER EXCLUDED?
M you describe under
SPECIAL PROVISIONS below
4061794
09/01/05
09/01/06
- luln-
TORY LIMITS ER
E.L. EACH ACCIDENT
s5000OO
E.L. DISEASE - EA EMPLOYEE
$500 000
E.L. DISEASE -POLICY LIMIT
1 $500000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF FT. COLLINS
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PURCHASING OR RISK MGMT .
P.O. BOX 580
IMPOSE NO OBLIGATION OR LIABILITY o NY WHO UPON THE SURER, ITS AGENTS OR
FT. COLLINS CO 80522
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sandra Aragon
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