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HomeMy WebLinkAbout398430 CREATIVE HARDSCAPE - INSURANCE CERTIFICATE (2)TE 1.. / ® CERTIFICATE OF LIABILITY INSURANCE DA/30/DD009 L.� 9/30/2009 PRODUCER (303)824-6600 FAX: (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA, ContinentalWesternIns CO 10804 Creative Hardscape Company, Inc. INSURER B, Pinnacol Assurance 4 190 2435 S. Cody Court INSURER CO 80227 NTSiu.-I'.T_iti INSURER D: 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 OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR iADD'L _-- -- POLICY EFFECTIVE . POLICY EXPIRATION POLICY NUMBER DAIS (MMIDDIYYYYI DATE (MM/001YYYYI 1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X I COMMERCIAL GENERAL LIABILITY�CNP2649092i, DAMAGE TO RENTED PREMISES Ea occurrence)._.. $ 250, 000 A i I CLAIMS MADE ''; X OCCUR Blanket Add '1 Insured 10/1/2009 10/1/2010 MEN EXP(Any one person) $ 51000 per attached Form CLCG PERSONAL.& ADV INJURY...i$ 1,000,000 .12033 0704 & ComH OHa Her GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:Form CLOG 2014 as Reguir-I. PRODUCTS COMP/OP AGG $ 2,000,000 POLICY X ;PRO '',, :LOG ad by Written Contract' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X'ANY AUTO (Ea accident) $ 1,000,000 A ALL OWNED AUTOS CNP2649092 10/1/2009I, 10/1/2010 BODILY INJURY ', $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) '..,i PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT '1 $ ANY AUTO ',., OTHER THAN EA ACC S ". AUTO ONLY: AGG ''$ EXCESS UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 X "', OCCUR rr CLAIMS MADE AGGREGATE $ 2,000,000 A ',, '', DEDUCTIBLE CU2646854 ',. 10/1/2009 10/1/2010 $ RETENTION $ 0; $ B WORKERS COMPENSATION X WC STATU OTH AND EMPLOYERS'LIABILITV Y/N .,. TORV. LIMITS ER. _. ANY PROPRIETORIPARTNER/EXECUI IVE - E L EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? ❑ - - - (Mandatory in NH) 4073810 10/1/2009 10/1/2010 E.L.DISEASE- EA EMPLOYEE$ 1,000,000 ' ll es, describe under "' - - "' SPECIAL PROVISIONS Jan. E L DISEASE - POLICY LIMIT $ 11000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Fort Collins is named as Additional Insured with regards to General Liability. 10 day notice of cancellation for non-payment This certificate is subject to the terms, conditions, and exclusions of the policies. 0)221-6707 The City of Fort Collins PO Box 580 Fort Collins, CO 80520 SHOULD ANY OFTHE 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Tonia Burt, CLCS, ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved INSU25 (200901) The ACORD name and logo are registered marks of ACORD 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 This Certificate of Insurance 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 (2009/01) INS025 (2oosm) CWG I General Liability 1 01/01/07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CL CG 20 14 01 07 ADDITIONAL. INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - AUTOMATIC STATUS WHEN REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to "bodily injury" and "property damage" caused, in whole or in part, by "your work" at locations specified in the written contract or agreement and included in the "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury" or "property damage" that occurs prior to the execution of, or subsequent to the expiration of, the contract or agreement in which you agreed that such person or organization be added as an additional insured on your policy, ©Continental Western Group ©2009 SilverPlume Reference Systems, Inc. All Rights Reserved, COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. w • A A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -. Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional Insured under this endorsement ends when your operations for that additional insured are com- pieted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying ser- vices, including: a. The preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 © ISO Properties, Inc„ 2004 Page 1 of 1 0