HomeMy WebLinkAbout102136 KORBY LANDSCAPE LLC - INSURANCE CERTIFICATE (7)Mar 10 11 01:22a
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ACOROs CERTIFICATE OF LIABILITY INSURANCE
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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 ADOrTIONAL INSURED, the podcy(les) must be endorsed II SUBROGATION IS WAIVED, Subject W
the terms and eondkiwa M the policy, eertein poliptea may regWm m endorsement A statement on Die ce,1111cate does not center rights to the
ceriifieete holder in Rau of Such artlmemmngsj.
PRODUCER
ALESSANDRA INSURANCE AGENCY
3100 S Parker Rd #100
NAM
(303)745-04D4 iVc ne (303)745-0544
AODRE S-.ralessandraQlfarmersa ent.com
Aurora, CO 80014
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INSLRERA:TRUCK INSURANCE EXCHANGE
INSURED
IINSURERB:FarmerB Insurance Group
Korby Landscape LLC
l6 RER C:
3201 E Mulberry St unit P
INSURER D:
Fort CollinB, CO 80524
INSURER=_:
970 568 7633
INSURER F:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MANED 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. LBATS SHOWN MAY HAVE BEEN REDUCED BY PART CLANS.
LTA
TYPE OF INSURANCE
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o
POLICY NUMBER
MMrDClYYY
MM�DYYY
LIMITS
A
GENERAL UADILITY
x.COMMERCIAL GEAERk_UABILITY
CLAWS-MADEFK OCCUR
Y
604863001
11/lD/lo31/10/11
EACH OCCURRENCE
s 1,000,000
PREMISES Ee ccunenw
S 100,000
PIED EXPMy au person
$ 5,000
PERSON& A ADV INJURY
s 1,000,000
GENERAL AGGREGATE
s 2,000,000
GEUL AGGREGATE
X POLICY
LRVT APPLIES PER
? - LOC
PRODUCTS - CO POP ADD
s 2, 000, 000
9
A
AUTOMOBILE
LW&LRY
ANYAUTO
ALTOS D X SCHEDULED
NCN�HIRED AUTOS ADIOS NEO
Y
604863001
11/10/10
11/10/11
'EA Nocomnil,
s 11000,000
x
BODILY INJURY IPm Psnon)
Is
BODCYIMMY(Peremden)
s
IPw'e¢W>nt
s
S
A
X
WSMLA LIAR
EXCESS LIAS
X
OCCUR
C 1. &MADE
,
604863444
it/lo/10
it/lo/11
EALN OCCURRENCE
$ 11000,000
AGGREGATE
s 1, 000, 000
CEO I x I RETENTIONS 10, 000
$
WOR s COMPENGATIGN
AND EMPLOYERS LIABIL"
�^PV�R .RER E=uDEFXECVfIVE T�
PIrMeWln xp
e yyaar deaaf»ender
DESCraPT1ON DPOPERATIONS Eebw
ePA
A04171131
03123 /11
03/23 /12
WC ARA 01K
W ift
-L EACH ACCIDENT
s 100,000
EL DISEASE -EA EN3LOYE
S SOU, O00
EL gSEASE-PDLICYLIMIT
S 500,000
C-MMIPRON OF OPERATIONS 1 LOCATIONS! VEHICLES (PLteN ACORD tot, Mddonal Rsnarks Sciedule, r inpie tpue's regulred)
CITY OF FT COLLINS PURCHASING IS LISTED AS ADDITIONAL INSURED ON THE ABOVE
REFERENCED GEN33RAL LIABILITY POLICY
CITY OF FT COLLINS PURCHASING
PO BOX 560
FT COLLINS CO 80522-0580
ATTENTION JOHN STEPHEN
FAX:970-221-6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORL U
All rinhN mc—A
A00RD25(2010I05) The ACORD name and logo are registered marks of ACORD