HomeMy WebLinkAbout102136 KORBY LANDSCAPE LLC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE TM DA704130/2008 YY) PRODUCER Phona 720 962�8700 Fax 720 962 8800 CENTENNIAL INSURANCE GROUP 6901 S PIERCE STREET 0233 LITTLETON CO 80128 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURED SuPlnnacol KORBY LANDSCAPING LLC & KORBY SOD LLC 3201 E MULBERRY STREET UNITS FORT COLLINS CO 80524 INSURER e LLLJNAIC# INSURER C INSURER D INSURER E CO 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 NOD INSR TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTNE ATE IMODflY POLICY EXPIRATION OAT MMR)O LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE1-1 OCCUR EACH OCCURRENCE $ DAMAGE To RENTED PREMISES(E occum $ MED EXP (Anyone person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER POLICY JERCT LOC PRODUCTS COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 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 I UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ 8 $ A WTU OEMPLOYERS LIABILITY RKERS COMPENSATION AND ANY PROPRIETORIPARTNERIEXECUTNE OFFICEPo EMBER EXCLUDED? Nye. do$ tlee under SPECIAL PROVISIONS MI w 4069181 05/01/08 06/01/09 X TORYTLIM TS OTHER E L EACH ACCIDENT $ 100 000 E L DISEASE EA EMPLOYEE 8 100000 E L DISEASE POLICY LIMIT $ 500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS COLORADO CITY OF FT COLLINS PURCHASING PO BOX 680 FT COLLINS CO 80622-0580 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 ITS AGENTS OR REPRESENTATIVES Attention JOI N STEPHENS V.I uuGGmN "V41 S Carter COLTNa7:1 FIaia7:Tly�7_�\1 b7: i f'EF7 ACORD CERTIFICATE OF LIABILITY TM Fax 962A800 PRODUCER Phone 740 962 INSURANCE CENTENNIAL INSURAGROUP LITT S PIERCE STREET #233 ITTLETON CO 80128 INSURANCE 70741 M/2008 Y) OM30/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURED KORBY LANDSCAPING LLC & KORBY SOD LLC 3201 E MULBERRY STREET UNITS INSURERA Pinnacol INSURER B INSURER C FORT COLLINS CO 80524 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 INS, LTR ADD INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE ppT M/p POLICY EXPIRADON ATE IMIADDAMr, LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ DArucaio RENTED PREMISES E oo; «. $ MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER POLICY F PRO JECT LOC PRODUCTS COMP/OP AGG $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per amtlent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY AGO $ $ EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ _ Is — — — -- A EMPLOY RS LIABILITY NAND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE OFFICE"EMBER EXCLUDED? Ny a The a SPECIAL PROVISIONS teow 4069181 05/01/08 05/01/09 X RYTLIMIT8 OTHER E L EACH ACCIDENT $ 100000 E L DISEASE EA EMPLOYEE $ 100000 E L DISEASE POLICY LIMIT $ 500 DBD OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CO PROJECT LEMAY r=OTICIr ATe 1-1f11 ncO CITY OF FORT COLLINS 215 NORTH MASON FORT COLLINS CO 80524 970 221 6849 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 Attention JOHN STEVENS ACORD 25 (2001108) Certificate # 27939 lif ary S Carter © ACORD CORPORATION 1GRR