The URL can be used to link to this page

Home My WebLink About126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (5)SEP.21.2010 23:08 9702060801 Mountain Plains Agency 01318 P.001 /001 R� CERTIFICATE OF LIABILITY INSURANCE OP10 CL DATE(MWDDIYYYY) 00/22/10 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(8), 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 andorsement(s). PRODUCER I „_.,_ Mountain Plains Agency LLC (AJ�C,IFL1a,Exq: (AID, No): 4532 McMurry Avenue, Suite 150 ADDRESS: Fart Collins CO 80525 PRODUCER GLJSrpMEa 1D JT A&MLA-1 Phorte:970-206-0800 Fax:970-206-0801 INSURER(S) AFFORDING COVERAGE NAICN INSURED - INSURER A: Navigator Incluance A & M Landscape Concepts, Inc. INSURERS: Alan Winter ----- —• m�L 749 S Le ---...---'--...... Fort Call no CO1805INSURER 24 INSURER D : •INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUCD TO In IC INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'i WI I HIS I ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC I' ON 01 HER UOCUMEN I W I I H RLSPEC I 10 WHICH I His CCRTIFICATF. MAY HF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI KIPS f7F6CklHF0 HF••KkIN IS SVUJLC 1 10 ALL I HL I LKMS. EXCLUSIONS AND CONDITIONS OF SLICI I POLIC.IFS. I IW I S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR! ""_'_"-" """' ADD SUe LTR : TYPE OF INSURANCE INSR WVDI POLICY NUMBER I (MMJDDIYYYY) : (MMIDDIYYYYI LIMITS GENERALLIABILJTY I FACHOCCLJRRrNCr... $ 1000000 X: A j I COMMCRCIAI GkNI-RAL LIABILITY I � TBD 05/27/10 05/27/11 I DAMAG E TU RENTED j PREMISES (Ee 6Gouirence) $ 50000 CLAIMS -MADE F OCCUR I I MED EXP (Airy one person) I s 1000 — . PERSONAL & ADV INJURY $ 1000000 j GENERAL AG(jHEGA'Ik j $ 2000000 (JEN'LAGGREGATE LIMITAPPHF$PFK' PkOOUCITS.C..OMPIOPAGE $ 2000000 $ I POLICY ! PRO.JECT �' LUC $ AUTOMOBILE LIABILITY ICOMBINED SINGLE LIMIT $ I (Ea accident) I ANY AUTO BODILY INJURY (Per person) $ _; ALL OWNED ALJTC S BODILY INJURY (Per accident); — - S I SCHF%I FU AU I OS j 1 I PROPERTY DAMAGE . $ HIRED AUTOS (Per accident) NUN -OWNED AUTOS l $ $ . UMBRELLA LIAR - OCCUR I ) EACH OCCURRENCE : $ ' EXCESS LJAB CLAIMS-MADF ! AGGREGATE DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY YIN : IO LIMITS 1 EK E.L. EACH ACCIDENT $ ANY FKOPRIETORIPARTNCRICXEC,UTIV i 01+ICER/MEMBER EXCLUDED? N f A ,--.-._-- (Mandatory in NH) F.I. 01APASF . FA FMPLOYFF $ If yr.., nrr.rnpe Lender i DESCRIPTION OF OPERATIONS tleluw k 1. IJISkASk - POLICY I-IMII : $ DESCRIPTION OF OPERATIONS J LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule If more apace Is required) Landscape. City of Fort Collins; Spring Canyon Overflow parking. ceRTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CTYFORT I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVII Purchasing PO Box 580 Candy Lopez Fart Collins CO 80522 p 1988-2009 ACC ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD w -� -�� 6L, From:Six & Geving Insurance, Inc. 720 962 0942 09/21/2010 08:42 #328 P.002/003 CORD CERTIFICATE OF LIABILITY INSURANCE OP ID JL DATE(MWDDNYYY) A&tffA-1 09 21/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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. #515 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakewood CO 80228 Phone:720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC# INSURED A & M Landscape Concepts, Inc. Allen Winter 749 S. Lemay Avenue PMB 221 Fort Collins CO 805�4 COVERAGES INSURER A: Pinnacol Assurance 41190 INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 NS TYPE OF INSURANCE POLICYNUMBER PO FFECTI DATE MMlD PO I TK) DATE MM/DD LIMBS GENERAL LJABILI Y EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE1-1 OCCUR PREMISES Ea occurence) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREG ATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY jECT LOC AUTOMOBILE LUIBRITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Per accident) $ GARAGEUABILITY AUTO ONLY -EA ACCIDENT S ANY AUTO OCHER THAN EA ACC $ $ AUTO ONLY. AGG EXCESS/UMBRELLA.UASUM OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ , $WC A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIEfORIPARTNERIEYECUTIVE 4115033 09/01/10 09/01/11 STATU- X TORY LIMITS X ER E.L. EACH ACCIDENT $ 500000 OFFICERIMEMBER EXCLUDED? describe under S yes,PECIAALLPROVISIONS SPECIAL below E.L. DISEASE - EA EMPLOYEE $ SO.000O E.L. DISEASE - POLICY LIMIT $5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS RE: Spring Canyon Playground Overflow Parking V CR l if WA I C n VL✓CR GANUELLATION City of Fort Collins Purchasing PO Box 580 215 North Mason Fort Collins CO 80524 CTYFT-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LULBUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE& JAL.%imu ca (cuuIlual m ACORD CORPORATION 1988 From:Six & Geving Insurance, Inc. 720 962 0942 09/2112010 08:43 #328 P.0031003 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. r_t001:41W.1