HomeMy WebLinkAboutMONARCH LANDSCAPE - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE
(MMIDDl m)
DART-1 10 05 05
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 NAIC #
INSURED INSURER A: Allied Insurance
INSURERS: Pinnacol Assurance
&aster Circle P dba Monarch
Landscape 7�� g t — Mike Puleo INSURER C:
P. O. Box 1926 INSURERD:
Fort Collins CO 80522
INSURER E:
rnVFRACES
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.
MOK
LTR
INSU
TYPE OF INSURANCE
POLICY NUMBER
POLICY FFFEcTivE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MWO
LIMITS
A
X
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE LJ OCCUR
ACP 7521190315
10/01/05
10/01/06
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES (Ea occurence)
$100,000
MED EXP (Any one Person)
s5,000
PERSONAL & ADV INJURY
$ 1 , OOO , 000
GENERAL AGGREGATE
s2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
PRODUCTS -COMP/OP AGG
$2,000,000
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP 7521190315
10/01/05
10/01/06
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
_—
$
.__
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR EICLAIMSMADE
DEDUCTIBLE
RETENTION $
ACP 7521190315
10/01/05
10/01/06
EACH OCCURRENCE
$ 2000000
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
ANY PROPRIETORIETOREMPLOYERILITY/PARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED?
tt yes, describe under
SPECIAL PROVISIONS below
4063235
11/02/04
'
11/02/05
X TORY LIMITS ER
E.L. EACH ACCIDENT
_
$100000
E.L. DISEASE - EA EMPLOYEE
$ 100000
E.L. DISEASE -POLICY LIMIT
$500000
A
A
OTHER
Property Section
Ecruloment Floater
ACP 7521190315
ACP 7521190315
I 10/01/05
10/01/05
10/01/06
10/01/06
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
VCR I IrNX I C nVLYCR L APII.CLLA I IUIV
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 SHALL
Street Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
215 N. Mason St., 2nd Flr.
Fort Collins, CO 80521 REPRESENTATIVES.
AUTH9FAIEW111EPRESENTATIVE