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102136 KORBY LANDSCAPE LLC - INSURANCE CERTIFICATE (5)
ACORD CERTIFICATE OF LIABILITY INSURANCE TM. DAT04/30/2008 YY) PRODUCER Phone: 720-962-8700 Fax 720-962-8800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CENTENNIAL INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6901 S PIERCE STREET, #233 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LITTLETON CO 80128 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER PinnaC01 KORBY LANDSCAPING LLC & KORBY SOD, LLC INSURER B 3201 E. MULBERRY STREET UNITS ----"-_"-----__------"""-"--- -- FORT COLLINS CO 80524 INSURERC __. INSURER D INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR l'HE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITII 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION l LIMITS LTR kSR tNSRq DALE Mhi/DD/Y1' DATE M:.VDDIYY` GENERAL LIABILITY EACI I OCCURRENCE ---$ I$ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES tEo CLAIMS MADE[ OCCUR MED E%P (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP--- FlGG. $ PRO- __._... POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NONOWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCNBLE $ RETENTION $ $ WORKERS COMPENSATION AND 4069181 05/01/08 05/01 /09 WC STAT.0 OTHER X TORYLIMITS EMPLOVERS'LIABILITY ,. EL EACHACCIDENT _ $ A ANY PROPRIETORIPARTNERIEXECUTIVE _ _ _100,000 OFFICERIMEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 100,000 If yes describe under _-- SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CO: PROJECT: SMALL LANDSCAPING & IRRIGATION V MIY V GLLM 1 I V IY CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 215 NORTH MASON EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE FORT COLLINS, CO 80524 TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON 'I'HE INSURER, IT'S AGENTS OR REPRESENTATIVES. 970-221-6849 AUTHORIZED REPRESENTATIVE Attention: JOHN STEVENS ary S. Carter ACORD 25 (2001/08) Certificate # 27938 © ACORD CORPORATION 1988