HomeMy WebLinkAbout279796 COCAL LANDSCAPE - INSURANCE CERTIFICATEClient#- 36726
C(1CI AN3
ACORD.,., CERTIFICATE
OF LIABILITY
INSURANCE
(MnvoonY)
2/2
02/27/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
—
303 837-8500
INSURERS AFFORDING COVERAGE
_____..
INSURED
INSURER A
_...—__-._._....
Zurich American Insurance Company
CoCal Landscape Services, Inc.CoCa
INSURER B:
-- -- - --
Everest National Insurance Company
Landscape Construction Co.
INSURER c:
Hartford Insurance Group
12570
2570 E. 39th Ave.
INSURER D'
Denver, CO 80239
-- - -
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DOnY
POLICY EXPIRATION
DATE MM/DONV
LIMITS
A
GENERAL LIABILITY
GLO831168905
03/01/09
03/01/10
EACH OCCURRENCE
$1 000 DDD
X COMMERCIAL GENERAL LIABILITY
_
FIRE DAMAGE (Anyonefire)
$100000
MED EXP (Any one person)
$10,000
__ CLAIMS MADE D OCCUR
PERSONAL&ADV INJURY.
_
$1 000,000
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATEX LIM ITAPPLIES PER:
_PRO-
PRODUCTS COMP/OP AGG
$2,000,000
__
POLICY X JECT X LOG
_—_.-.......
A
AUTOMOBILE
LIABILITY
BAP831169005
03/01/09
03/01/10
COMBINED SINGLE LIMIT
$1,000,000
X
ANY AUTO
(Ea accident)
--
BODILY INJURY
ALL OWNED AUTOS
AUTOS
(Per person)
$
_SCHEDULED
X
-
HIRED AUTOS
BODILY INJURY
X
NON -OWNED AUTOS
(Per accident)
$
---------------
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
.....
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
71GH000024091
03/01/09
03/01/10
EACH OCCURRENCE
$5,000,000
X OCCUR n CLAIMS MADE
AGGREGATE ,,.
$5,00� 000
$
DEDUCTIBLE
$
X RETENTION $1 O 000
$
A
WORKERS COMPENSATION AND
WC831168805
03/01/09
03/01/10
X WCSTATU OTH-
Yj
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$11000,000
EL_DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT 1
_
$1 00O 000
C
OTHER Leased/
34UUMP02816
03/01/09
03/01/10
$50,000 Limit
Rented/Borrowed
$1,000 Deductible
E ui ment
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*Except 10 days notice for non-payment of premium.
If required by written contract or written agreement, the City of Ft. Collins, its officers and employees are included as
Additional Insured for ongoing operations under General Liability. *Except 10 days notice for non-payment of premium.
City of Ft. Collins
City's Director of Purchasing & Risk Mgmt
P.O. Box 580
Fort Collins, CO 80522
I
ACORD 25-S (7/9711 of 9 flMSRinwi
SHOULD ANYOFTHEABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL*30—DAYS WRITTEN
NOTICE TO TH E CERTIFICATE HOLDER NAMED TO TH E LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
_I ORIZED REPRI
VI 7 n A('.ORn (.n RPnAATIr1N tORS
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.
ACORD25-S(7/97)2 Of 2 41,M5610R3