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Home My WebLink About108976 L AND M ENTERPRISES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 08/26/2009' PRODUCER (970)679-7333 FAX (866)456-4265 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ` Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4025 St. Cloud Dr. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 100 Loveland, CO 80538 renee-stein@l eavi tt . com INSURERS AFFORDING COVERAGE NAIC # INSURED L &_.M•Enterprises, _Inc,.' INSURER A: EMC '` 21415 INSURERB: Sequoia Insurance .Company 22985 Berthoud, CO 80513 INSURERC: ii-d INSURER D: { INSURER E rnvr_oAn=Q 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 DD' 7ypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 3X 17684-10 09/01/2009 09/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE rx] OCCUR MED EXP (Any one person) $ 5,000 A X Bl kt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 X Blkt Wvr Subrogtn GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY ; ANY AUTO 3X17684-10 09/01/2009 09/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ' A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I _ X BODILY INJURY. (Per accident) $ ; X PROPERTY DAMAGE_ .._. (Per accident) GARAGE.LIPBILITY.._.__ ...._ _._: _ ._. _.._ -_.... .. ••- AUTO ONLY - EA ACCIDENT $ '- OTHER THAN EA ACC $ - ANY AUTO - $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY 3X17684-10 09/01/2009 09/01/2010 EACH OCCURRENCE $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 A $ 0 $ DEDUCTIBLE X RETENTION $ 10 r 00 $ WORKERS COMPENSATION AND SWP203829-1 01/01/2009 01/01/2010 X WC STATU- OTH- B . EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER!F.XECUTIN/E OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 , 000, 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 A OTHER Contractors' Equipment 3X17684-10 09/01/2009 09/01/2010 Leased/Rented Equipment $150,000 - limit $1,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e: 7005 East Prospect Road Landscaping Improvements - City of Fort Collins, Engineer, heir respective officers and employees are named additional insured as respects work performed. City of Fort Collins Financial Services Purchasing Division 215 N. Mason St. 2nd Floor 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 30 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 ; Renee Stein/RESTED ACORD 25 (2001/08) @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)