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HomeMy WebLinkAbout108976 L AND M ENTERPRISES INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATE 10/15/2009) PRODUCER (970)679-7333 FAX (866)456-4265 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency 4025 St . Cloud Dr. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite .100 Loveland; C0:.80538-..__.. .__._._renee-stein@leavitt.•com INSURERS AFFORDING COVERAGE.._ -- - -NAIC# INSURED L.&-M .Enterpri.ses, _.Inc. INSURERA: Secura Insurance; Company- I P._0 BOX W INSURERB: Sequoia Insurance -Company- - 22985- Berth6ud; ``CO' 80513 INSURER C: INSURER D:- - 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 ADD - TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CP3155200 10/01/2009 01/01/2010 EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMPP,AGE TO RENTED $ 100,000 CLAIMS MADE U OCCUR MED EXP (Any one person) $ S,000 A X Bl kt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 X Bl kt Wvr Su rogtn 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 A3155201 10/01/2009 01/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ .. _ - A ALL OWNED AUTOS S SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - " _ _.. -_ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per acci e �d rit)"_ $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC- $ ANY AUTO - _ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY CU315 5202 10/01/2009 01/01/2010 EACH OCCURRENCE $ 8,000,000 X OCCUR ❑ CLAIMS MADE AGGREGATE $ 8,000,000 A $ 0 $ DEDUCTIBLE X RETENTION $ 10 , 00 $ WORKERS COMPENSATION AND SWP203829-1 01/01/2009 01/01/2010 X WC srnru- oTH- FR ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1,000,000 —__ E.L. DISEASE - EA EMPLOYEE _.._ $ ]L,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHER Contra tors' Equipment CP3155200 10/01/2009 01/01/2010 Leased/Rented Equipment $150,000 limit-$1,000 deduct $85,000 Installation Fltr DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins ..Financial Services 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Purchasing Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 215 N . Mason St. 2nd Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE I Renee Stein/RESTEI e 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 (2001108)