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Home My WebLink AboutTURNING LEAF PAINTING - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE Dioiz%2008 PRODUCER (303) 776-5122 FAX (303) 776-5495 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Mai nStreet Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 512 4t6 A I HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR venue P.O. Box 847 Longmont, CO 80502 INSURED Turning Leaf Painting, 4998 North 109th Street Longmont, CO 80504 UQVILRAL'Imti INSURERS AFFORDING COVERAGE INSURERA: Mtn, INSURERS: Pinn INSURER C: INSURER D: INSURER E: Co NAIC # 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, INLTR SRiNRR ADD' TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY -V CLAIMS MADE F1 OCCUR CPP0116156-02 11/01/2008 11/01/2009 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO ECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO BAP0116156-02 11/01/2008 11/01/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE UMB0116156-02 11/01/2008 11/01/2009 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,0 A $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 3480168 11/01/2008 11/01/2009 X WCSTATU- DTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1, 000, 000 B ANY OFFICER/MEMBOREXGLUDRO'XECUTIVE DI( yes,describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT I $ 1,000,000 OT ER In and Marine Covg. CPP0116156-02 11/01/2008 11/01/2009 Leased/Rented Equip.-$60,000 A ACV; $500 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ity of Fort Collins as Additional Insured with respect to General Liability when required by written ontract per Form UND247. City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Debbie Brickham/DBRICK AUVKV ZO (ZUUT/Ut5) ©ACORD CORPORATION 1988 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). 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 alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)