HomeMy WebLinkAboutA M LANDSCAPE - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID B
DATE (MMIDDfY YY)
A&MLA-1
06 02 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Six & Geving Insurance Inc #4
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Denver Branch
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
225 Union Blvd. #575
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lakewood CO $0228
Phone:720-962-0930 Fax:720-962-0942
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Allied Insurance Group
42579
INSURER B: Pinnacol Assurance
INSURER C:
A & M Landscape Inc.
2417 H. Mulberry
Ft. Collins CO 80524
INsuRERD:
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
NSRE
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDOM
DATE MWDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE *] OCCUR
ACP7540917911
05/27/06
05/27/07
EACH OCCURRENCE
$1,000,000
PREMISES( o�ccurence)
$100,000
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
PRODUCTS. COMP/OP AGG
$2,000 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP7540917911
05/27/06
05/27/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 , 000 , 000
X
BODILY INJURY
(Per pmc")
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTOONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
BW
WORKERS COMPENSATION AND
EMPLOYER5LIABILITY ANY PROPRIETOR/PARTNERtE7(ECUTIVE
OFFICERIMEMBER EXCLUDED?
If Yes, describe under
SPECIAL PROVISIONS below
4061794
09/01/05
09/01/06
X T LIMITS ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500, 000
E.L. DISEASE -POLICY LIMIT
I $ 500 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ALL PROJECTS/ALL LOCATIONS.
CITY OF FT. COLLINS
PURCHASING OR RISK MGMT.
P.O. BOX 580
FT. COLLINS CO 80522
FTCOL -1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
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, ITS AGENTS OR
REPRESENTATIVES. A -.
25 (2001/08)