HomeMy WebLinkAbout196580 L & L LANDSCAPE - INSURANCE CERTIFICATE (6)Client#: 39557
III AM
ACORD„. CERTIFICATE OF LIABILITY INSURANCE__TDATE
04/16/4/16/MIDDIYYYV)
209
PRODUCER
Flood & Peterson Ins. Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578
4687 W. 18th Street
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
L & L Landscape, Inc.
LRD, Inc. dba
INSURER A: United Fire & Cas.
INSURERS: Pinnacol Assurance
--
INSURER C.
—-- -
P O Box 62
NSURER D:
Windsor, CO 80550
INSURER1:
w
I HE 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 1"0 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.
1W 00 POLICY EFFECTIVE POLICYEXPIRATION --
LTR NSR1 TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDIYY) DATE MM/DD/YY LIMITS
A
GENERAL
LIABILITY
60066660
04/20/09
04/20/10
CACH OCCURRENCE
$1 000,000
X
--
DAMAGE TORENTED
PREMISES F.a ...once
$100 000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX� OCCUR
MEO EXP (Any one person)
g5, 000
X
PD Ded:250
PERSONAL &ADV INJURY
$1,000,000
GENERALAGGREGATE
_
$2 000,000
—
GEN'L AGGREGATE LIMIT APPLIES PER
PO_I.ICV PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
--
$2, 000000
-
-- -
A
AUTOMOBILE
LIABILITY
ANYAUTO
60066660
04/20/09
04/20/10
COMBINED SINGLE LIMIT
ire accident)
$500,000
ALL OWNED AUTOS
SCHEDULED AU705
BODILYINJURY
(Perrperson)
$
X
HIRED AUTOS
X
---i--
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
ANY AUTO
OTYIER THAN EA ACC
$___
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR ❑ CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
$
_
RETENTION $
§
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4032158
0$/01/06
0$/01/09
X WCSTATU I OTH-
- wL I
E.L. EACH ACCIDLN1
_
$1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
I! yes, describe under
E.L.DISEASE ,EA EMPLOYE
$1,000,000
E.L,DISEASE-POLICY LIMIT
$1,000,000
SPECIALPROVI510NSbeIoW
A
OTHER Inland Marin
60066660
04/20/09
04/20/10
35000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is named as additional insured (Excluding workers
compensation).
City of Fort Collins
Purchasing Dept.
P O Box 580
Ft Collins , CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30— DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENT
lx>xyK� 'r N.¢..,da_feo0oQ r�tc✓Pa,..nJtli , [e ex ,
1 oT c SL44140Z/M44141b TLA 0 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.
ACVKU zb-s tzuu11Un) 2 of 2 #S441482/M441475