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HomeMy WebLinkAbout126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID ,JL DATE(MM/DD/YYYY) A&MLA-1 1 08/12/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Six & Geving Insurance Inc #4 ONLY AND CONFERS NO.RIGHTS UPON -THE CERTIFICATE Denver Branch HOLDER. THIS CERTIFICATE DOES -NOT -AMEND, EXTEND -OR 225 Union "Blvd. #575ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Lakewood CO 80228- Phone: 720-962.-0930 Fax:720-962-0942 INSURERS'AFFORDING COVERAGE NAIC # INSURED INSURER A: Plnnacol Assurance _-. _ 41190_- ._. ... _ _..: INSURER B: A & M"Landscape Concepts, Inc. Allen- Winter wsuRER c: 749 S . Lemay Avenue PMB 221 INSURER D: Fort Collins CO 805�4 - INSURER E: LK91VJ a:r_lC1 �-1 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. LTR YNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0OCCUR - _ PREMISESSO a ocNcurence$ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY n PRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO .. . _ . • .. -. _ COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS ' . - _ - BODILY INJURY- -- (Per person) $ -- - - - BODILY INJURY - - (Per accident) - $--- — - - - - HIRED AUTOS 'NON -OWNED AUTOS _ .,. .PROPERTY .DAMAGE, _.. ..(Per accident) _ '.. ...- - -• - GARAGE LIABILITY I 'AUTO ONLY - EA ACCIDENT $ F I ANY AUTO . OTHER THAN EA ACC _ $ $ - - AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE ` $ $ DEDUCTIBLE $ $ RETENTION $ - - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4115033 0S/01/10 09/01/11 X TORY LIMITS X ER EACH ACCIDENT /� /� $ 500000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE- EA EMPLOYE $ 500000 E.L. DISEASE -POLICY LIMIT -$ 500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: All Projects/All Locations %,r-R i irm A i c nULUMM UANUELLATION CTYFT-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Or Risk Mgmt P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUTHOD RE_ (/l PRESENT�7VE ACORD 25 (2001/08) © ACORD CORPORATION 1 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) JUN.07.2010 21:56 '3702060301 Mountain Plains Agency a,7592 P.001 /001 .R� CERTIFICATE OF LIABILITY INSURANCE OP10 CL rDATE(MM/DDIYYYY) 06 08 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. IMP ANT: I the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROtFATION 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 NAME: PHONE -._.. ...--'- Mountain Plains Agency LLC (AIC, No, Ext): �SArc, No): E-MAIL 4532 McMurry Avenue, Suite 150 ADDRESS: _ Fort Collins CO 80525 PRODUCER A&I�II,A-1 CUSTOMER ID /f: _.__.... ........_.-T .B one: - -OSOO FaX:970-206-0801 1NSURER(S)AFFORDING COVERAGE NAICN INSURED INSURERA: Navigator Insuance &M Landscape Concepts, Inc. INSURERS: Alan Winter 749 S Lemay, Unit 3 INSURERC: Fort Collins CO 80524 -- INSURER _b : INSURER E I I _.... INSURER F : COVERAGES CERTIFICATE NUMBER: GPv14InM Mllnnot:a. THIS IS To CF.k I U-Y THAT THE POLICIES OF INSURANCE LIS I ED BELOW HAVE BEEN ISSUED TO THE uaSUKEO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITI ISTANDING ANY KLQUIREMENT, TERM OR CONDITION GF ANY CONTRACT OR OTHER DOCUMENT WITH RF..SPFCT To WHICH I HIS CERTIFICATE MAY BE ISSUFU OK MAY PERTAIN, THE INSURANCE AFPORDFI.) uY THE I.OUCIES DESCRIBED I.I£REIN IS SLIBJF.Cf I O AI I 1 HE TERMS. EXCLUSIONS AN]) CONDITIONS OF SUCH POLK:IES. L1MI f,, SHOWN MAY HAVE DCEN REDUCED BY PAID CI AIMS TADO LTR TYPE OF INSURANCE I R VJVD POLICY NUMBER MM106Y POLICY EXP (MMIbC Yrvv) ' `-- LIMITS GENERAL UA81LITY EACI I OCCURRENCE I $ 1000000 A i X COMMERCIAL GENERAL LIABILIiv TBD 05/27/10 105/27/11 `DAMAG-IG KENIt: D PRtMISES(Feoccurence) $ 50000 CLAIh1S-MAD£ i X OCCUR ! MHnFxP(Any one peraon)--_....5 1000 S 1000000 =� —.... .... X i I ' PERSONAL IsADV INJURY $ 2 0 0 0 0 0 0 CEN ERAL AGGREGATE GEN'L AGGREGaI'E LIMIT APPLIES PER PRODUCTS - COMP/OP AGG 1s2000000 $ I PUI.ICY JECT LOC g AUTOMOBILE LIABILITY COMBINED SINC,LE LIMI'i ANY AUTO (Ca accident) $ BOUII.Y INJLJHY ( 9 P r person)$ I AlI OWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Pei accident): S �___...._._.._._.._.- DAMAGF HIRED AUTOS i (Prr accident) NUM -OWNED AUTOS :5 UMBRELLA uAe I � OCC:UH .' EACH OCCUHHtNCr ! :$ EXCESS U..4 , CLAIM5_MADE! aGCHI-GArF 01,:D IC ABLE $ I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' uasILITY Y I N i IpHv 4.IMITS j ANY PROPRIETOR/PARI'NFHIEXEUUTIV I OFFICERIMF..MRFR 1-XCLUDED? NIA ' _ ! E.L. EACH ACCIDENT -_�b- (Mandatary In NH) If yee, de s iibe under L.L. DISEASE - EA CMPLOYEC $ ! DESCRIPTION OF OPERATIONS oalow E.L. DISEASE - POLK)Y LIMIT $ I i DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101 Additional Remarke Schedule, if more apace is required) City of Fort Collins is listed as additional insured. —11--,-,bn1" nv611rc IN CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FTCOLLl I THE EXPIRATION bATE'(HEREOF, NOTICE WILL BF oET IvEREO IN ACCORDANCE WITH THE POLICY PROVISIONS, City Of Fort; Collins AUTHORt1E0REPRESENTATIV Purchasing & Risk Management 215 N Mason, Po Box 580 Candy Lopez Fort Collins CO 80522 C� 1988.2009 AC RD CORP0 ION. All r g rase ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD J