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Home My WebLink About125758 FULLER LANDSCAPING - INSURANCE CERTIFICATE (9)APR. 26, 2006 8:40AM N0, 509 aP. 1/3AT" A DjW CEk i imCATE OF LIABILITY INSURANCE (14leDI4006 PRODuCER C970)223-0924 FAX C910) 267-2231 THIS CERTIFICATE IS ISSUED AS A IIBATTER OF INFORMATION BW Xnsurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1075 W Horsetooth Rd, Ste 106 HOLDER, THIS CERTIFICATE DOES NOT AMEND, ExTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80526 INSURERS AFFORDING COVERAGE NAIC # m%uRE.D Fuller Landscaping, LLC dba INSURERA� Colorado Casualty Insurance 4178S Fuller Construction INSURERS: 4836 Kiva Drive INSURER O: LaPorte CO 80535 INSURER D: INSURER E= nn�,Ceer_G4 THE POLICIES OF INSURANCE Liam) 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. ME TYPE OF INSURANCE POLICY NUMBER POLICY ECTNE FJIPIRATION LIMITS GENERAL LIABILITY APOS3542702 04/24/2006 04/24/2007 FACH OCCURRENCE s 1,000,00( oAt 5 To Nt.m S SO O X COMMSRCIALOENERALLNBILnY $ $ oQ CLAIMS MADE O OCCUR MED EXP {Any ona peNon) PERSONAL B ADV INJURY $ 1,000 00 A GENERAL AGGREGATE $ 2.000,00 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMIP/OP AGO 6 2,000,()0 X POLICY M JE:4 LOC AtIrommILE Lww- Y ANYAUTO COMBINED SINGLE LIMB (Ee gQddent) ; BODILYIWURY (Perpe n) i ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Peraeddeni) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per aeddw) 9 GARAGE LIAIMUTY AUTO ONLY -EA ACCIDENT i OYHEItTHAN EAACC ME ONLY: AGO 6 ANY AUTO I O(COMUMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR CLAIMSMADE AGGREGATE $ I OEOUCTIBLE S RETENTION S WORKER$ COMPENSATION AND STATU. OTH- 10 EL. EACH ACCIDENT S EMPLOYERS LIABILITY ANY PROPRfETORfPARTNERrtXECUTNE OPFICERIMEMBER E%CLUOBO? . EL. DISEASE -EA EMPLO S If Yes, dwafte under SPECIAL PROVISIONS boll w E.L. DISEASE -PDUCY LIMIT 9 OTHER DESCRIPTW N OF OPERATION$ / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins 215 N Mason St. 2nd Floor PO BOX 850 Fort Collins, CO 80522 I ,NIrCL.LA 1 RJN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EK'PIRAMN DATE THEREOF, THE =DING INSURER WILL ENDEAVOR TO MAL ^ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INAER, RS AOENy$ OR RBSENTATNLa. -HORILED REPRESENTAT wa.wnr.n wwwwww,aT,.�u �wwe APR, 26. 2006- 8;410 N0. 509 ACORD CERTIFICATE OF LIABILITY INSURANCE awlcER (970) 2 3-0924 FAX (970) ZG7-2231 I THIS CERTIFICATE IS ISSUED AS A MATTER OF OW Insurance Agency, Inc. 1015 W Horsetooth Rd, Ste 100 Fort Collins, CC 80SZ6 INSURERS AFFORDING COVERAGE I NAIC # INSURED FY i l er Lanascapi ng, 4836 Kiva Drive Laporte, CO $0535 INSURER D; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. NMUINSR TYPE OF INSURANCE POLICY NUMBER POY EFPECIYVE POAM LICY EX TN)N LJ�BTS A X GENERAL LIABRITY X COMMERCwl GENERAL LABILITY MS CLAMADE � OCCUR APOS3542702 04/24/2006 04/24/2007 EACH OCCURRENCE 3 1 000 DAMAGE TO RENTED MID BXP (MY one Pww) i 50.000 S 510001 PERSONAL A ADV INJURY S 11000 OQ GENERAL AGGREGATE i 2,000,00( rGEN'L AGGREGATE LIMIT APPLIES PER: POLICY 71PEe LOD PRODUCTS - COMPIOP AGG 3 2 , DOO AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NOWDWNEDAUT05 COMBINED SINGLE LIMIT (Ea "ZIN O $ SODILY INJURY (Pwporw^) i BODILY INJURY (Perewldeno i PROPERTY DAMAGE (Per 4COdent) i GARAGE LABILITY ANY AUTO AUTO ONLY. EAACCIDENT i OTHER THAN EA ACC AUTO ONLY; AGG i i E,CCESWMRRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE i AGGREGATE 5 i 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEIRMECUTIVE OFFICERAEiMSER EXCLUDED? Iwo, demAbe undw 5PECIAL PROVISIONS below IWCSTATU• OTN- ER F.L. EACH ACCIDENT i EL DISEASE - EA EMPLOYEE 8 ILL DISEASE. POLICY LIMIT I OTHER DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The Certificate holder is named as additional insured as their interest may appear with the respect to he ongoing operations of the named insured. CFRYIFICATF Mnl rOFR CANICRN 1 AYMN SHOULD ANY OF THE ABOVE DE8CRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE I93UING INSURER WILL ENDEAVOR TO MAL City of Fort Collins 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Purchasing Department BUT FAILURE TO MML S HNOTICE SMALL{ E NO OBLIGATION OR LIABLITY PO Bo% S80 OF ANY KIND UPONT 1 UR R N R ESENTATIVES. Fort Collins, CO 80522 AUTHORIZEDREPRFI Doris Carison ACORD 25 (2001108) FAX: 221-6707 CACORD CORPORATION 1988 PR. 26, 2006- 8;41Ali NO. 509-P. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25 (2001109)