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HomeMy WebLinkAboutTHE GREEN PLAN INC - INSURANCE CERTIFICATETHE 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 AVE BEEN BEDU EI2 BY PAID CLAIMS, INSR luau TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVEPOLICY EMM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISE Ea oc rduce. $ 100, 000 A MED EXP Art, onePerson)$ 5,000 CLAIMS MADE OCCUR CBP8531755 ll/l/2008 11/1/2009 PERSONAL & ADV INJURY $ 11000,000 Blanket Addpl Insured GENERAL AGGREGATE $ 2,000,000 per Form 22-132 (01-08) GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000,000 Attached 17 POLICY X JEO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 A ALL OWNED AUTOS BAS532256 ll/l/2008 11/1/2009 BODILY INJURY SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE 5 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ANY AUTO AUTO ONLY: AGO S EXCESS/UMBRELLA LIABILITY OCCURRENCEEACH $ 51000,000 X OCCUR CLAIMS MADE AGGREGATE $ 51000,000 A DEDUCTIBLE CUSS34556 11/1/2008 11/l/2009 $ X RETENTION S 10,000 B WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 4044669 ll/l/2008 il/l/2009 E.L. DISEASE - EA EMPLOYEE $ 100, 000 If yes, describe under E. L. DISEASE -POLICY LIMIT 5 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Be: Old Town Square Irrigation System Project #6084 The City of Fort Collins and Downtown Development Authority are named as Additional Insureds with regards to General Liability. 10 Day Notice of Cancellation Applies to Non -Payment of Premium. This certificate is subject to the terms, conditions, and exclusions of the policies. (303)938-8137 City of Fort Collins Purchasing Division 215 North Mason Street 2nd Floor Fort Collins, CO 80524-4402 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 AUTHORIZED REPRESENTATIVE Navarra, ACSR/CHANA ACORD 25 (2001/08) © ACORD CORPORATION 1988 INS025 (0108).08a Page i of 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) INS025 (oios).oea Page 2 of 2