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Home My WebLink About196580 L & L LANDSCAPE (LRD INC) - INSURANCE CERTIFICATE (4)R�® CERTIFICATE OF LIABILITY INSURANCE OP ID MMF DATE(MM/DD/YYYY) 07/29/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Renaissance Insurance Group P 0 BOX 478 NAME: PHONE FAX A/C, No Ext : (A/C, No): ADDRESS: 101 E Main Street Windsor CO 80550 PR DUCER CUSTOMERID#: LRDINCI Phone:970-674-8825 Fax:970-674-8826 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Auto -Owners Insurance Group 18988 Lrd Inc DBA L & L Landscape PO Box 62 Windsor CO 80550-0062 INSURERB: Owners Insurance Company 32700 INSURER C : Pinnacol Assurance INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XI OCCUR 74008438 . 04/20/10 04/20/11 EACH OCCURRENCE $ 1, 000, 000 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5 , 0 0 0 PERSONAL &ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OPAGG $ 2, OOO, OOO $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OW NED AUTOS 48030,82401 04/20/10 04/20/11 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ $500 , 000 $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ _ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N/A EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE _ RETENTION $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 41A 4032158 08/01/10 08/01/11 X - - TORY LIMITS ER E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1, 0 0 0, 0 0 0 E.L. DISEASE- POLICY LIMIT $ 1, 000, 000 A Inland Marine 74008438 04/20/1004/20/11 Sched $184,000 Equipment $500 ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 580 Fort Collins CO 80522 reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Unable to change Cancellation wording as this is an infringement on the Acord copyright. This Certificate of Insurance represents coverage in effect and may or may not be in compliance with any written contract. The following cancellation conditions always apply: - 10 days for non-payment of premium - If policy shown, 10 days for Workers' Compensation for fraud; material misrepresentation, non-payment of premium; other reasons approved by the commissioner of insurance.