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HomeMy WebLinkAbout126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (3)ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID ss DATE (MM DD YYY) A&MLA-1 08/25/08 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 80228 Phone- 720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Plnnacol Assurance 41190 INSURER B: A & M Landscape Inc. Allen Winter WSURERc: 749 S. Lemay Ave. PMB 221 INSURER D: Fort Collins CO 80524 INSURER E: V V Y ln,'V GJ 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 AD0 INSR TYPE OF INSURANCE POLICY NUMBER 6UCY€FFE0E DATE(Ni DATE (MM/DD[YYj LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY n CLAIMS MADE �J OCCUR AMA PREMISES (Ea occurence) $ MED EXP (Any one person) $ &ADV INJURY $ _ _PERSONAL GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO LIMIT (O accident) $ ALLSINGLE ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S S AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERIETORILITY ANY PROPRIETOR/ 4115033 09/01/08 09/01/09 X TORV LIMITS ER E.L. EACH ACCIDENT $500000 Of FICER/MEMOER EXCLUDEDP EXCLUDED? I! yes, describe under E.L. DISEASE - EA EMPLOYEE _ $ 50 0000 - E.L. DISEASE POLICY LIMIT $500000 SPECIALPROVISIONSbelow OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT( SPECIAL PROVISIONS RE: All Projects/All Locations CTYFT-1 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 Purchasing Or Risk Mgmt P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. O ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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). 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 alter the coverage afforded by the policies listed thereon.