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HomeMy WebLinkAbout108976 L AND M ENTERPRISES, INC. - INSURANCE CERTIFICATEACDRQ CERTIFICATE OF LIABILITY INSURANCE iz/18/20 9) 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 ' 0^' _ .. Loveland, CO 80538 renee-stein@leavitt.com INSURERS AFFORDING COVERAGE--._ _..__.� _:.:�.: `.....NAIC_#._..__ ___.._.. INSURED .'L.&. M- Enterprises.,,..Inc.. _._.-.....-_. _..____ .:.. .INSURERA: Secura-Insuraheii"---• ... •-•• --;. -_ __..................___ P. 0 ,BOX_.W- INSURER B: p A- `735 East Highway 56 ; ; INSURERC: . ._....... .._._...._..._._...-__-..-_.__. .. ___ .___....__. ' B6r,tHoud;"'CO' 80513 INSURERD: INSURER E: CnVFPAnFR 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 ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DM POLICY EXPIRATION DATE(MM/DDNY) LIMITS GENERAL LIABILITY CP3155200 01/01/2010 01/01/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE a OCCUR PIED EXP (Any one person) $ 10,000 A X Bl kt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 X Bl kt Wvr Subrogatn GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO A3155201 01/01/2010 01/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ .A ALL OWNED AUTOS SCHEDULED,AUTOS HIRED AUTOS ....,,.. .. ..,.._.:. NON'OWNED AUTOS ' .. � - _, _._ -.. .__... _ X -BODILY INJURY -- (Per accident) , - $ ! X " ..... ._.. '' _..._.. _... .__..._.. -- . _._. ... � PROPERTY DAMAGE _ ...... (Per accident).___..___....._._-_ ._. r'-- ._ .. $ ...._._._.......-__—...,_.__'_.___,. .... AUTO ONLY-- EA ACCIDENT-- OTHERTHAN EA ACC $ ANY AUTO $ -' AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY CU315 5202 01/01/2010 01/01/2011 -EACH OCCURRENCE $ 8,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 8,000,000 A $ $ DEDUCTIBLE X RETENTION $ 10 , 0O $ WORKERS COMPENSATION AND WC315 7481 - X WC "RySTATU- OTHER A EMPLOYERS' LIABILITY ANY-?ROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below BLANKET WAIVER OF SUBROGATION INCLUDED 01/01/2010 01/01/2011 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHER ontractors' Equipment CP3155200 01/01/2010 01/01/2011 Leased/Rented Equipment $150,000 limit/$1,000 ded $85,000 Installation Floater DESCRIPTION OF OPERATIONS I 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/RESTEI I \Jkilo—� 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 26 (2001/08)