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HomeMy WebLinkAbout102136 KORBY LANDSCAPE LLC - INSURANCE CERTIFICATE (9)ACORD E (MNVDD/YYYY)
TM. CERTIFICATE OF LIABILITY INSURANCE 705/08/2006
PRODUCER Phone: 720-962-8700 Fax: 720-962-8800
CENTENNIAL INSURANCE GROUP
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6901 S PIERCE STREET, #233
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LITTLETON CO 80128
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: Pinnacol
INSURER B:
KORBY LANDSCAPING LLC & KORBY SOD, LLC
3201 E. MULBERRY STREET UNIT S
FORT COLLINS CO 80524
INSURER C:
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 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.
INSR
LTR
ADD'L
INSRC
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE IMMIDDhYi
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
DAMAGE7o RENTED
PREMISES Eaoccurerce
$
MED. EXP (Anyone person)
$
PERSONAL &ADV INJURY
$
GENERALAGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
F-lPRO-
POLICY JECT El LOC
PRODUCTS-COMPIOP AGG.
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
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
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERMEYBER EXCLUDED?
N Yee, cl a rlbe und r
SPECIAL PROVISIONS below
4069181
05/01/06
05/01/07
X TORYTLIM TS
OTHER
E.L. EACH ACCIDENT
1,$ 100,000
E.L. DISEASE -EA EMPLOYEE
$ 100,000
E.L. DISEASE POLICY LIMIT
$ 500,000
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CO:
PROJECT:LEMAY
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
215 NORTH MASON
FORT COLLINS, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION 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,
IT'S AGENTS OR REPRESENTATIVES.
970-221-6849
Attention: JOHN STEVENS
AUTHORIZED REPRESENTATIVE
a S. Carter �`-
ACORD 25 (2001/08) Certificate # 18055 © ACORD CORPORATION 1988