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HomeMy WebLinkAboutROCKY RIDGE NURSERY & LANDSCAPE LLC - INSURANCE CERTIFICATEACORDP CERTIFICATE OF LIABILITY INSURANCE DATE ON231211YY) 03I23I20„ PRODUCER INNACTHIS ASSURANCE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E o 501 Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED ROCKY RIDGE NURSERY & LANDSCAPE LLC INSURER PINNACOL ASSURANCE 41190 INSURER B: 327 EAST COUNTY RD 60 INSURERC FORT COLLINS, CO 80524 INSURER D'. INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. INSR ADDl POLICY EFFECTIVE POLICTEXPIPATION LIE INSRD TYPE OF INSURANCE POLICYNUMBER DATEIMMIDONYYY) DATE(MMIDDNYYT) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CMAIMSMADE F1 OCCUR PREMISES MED EXPIAny one Person PERSONAL B ATV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS -COMPOSE AGO POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO JE. AccM PIII BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per Person) BODILY INJURY HIRED AUTOS NON OWNED AUTOS (Peratt "M) PROPERTY DAMAGE I Peramidenp GARAGE LIABILITY AUTOONLY-EAACCIDENT OTHER THAN EAACC ANYAUTO AUTO ONLY: AG E%CESSNMBRELLA LIABILITY EACH OCCURRENCE ' AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOPoPARTNERELUTNE /E% 4061992 10/01/2010 10/01/2011 TDRv uMITs EL EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED' ELDISEASE-EAEMPL $100,pp0 I(ye5. pleazedeunpeuMm SPECIAL PROVISIONS IPNw ELDISFASE- POLICY LIMITIMIT $pp ppp OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1298447 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO P O BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Irma Vigil ACORD 25)2001I08) Underwriter ACORD CORPORATION 1988 03/23/2011 10:54:19 AM PINNACOL ASSURANCE PAGE 2 OF 3 ACOR CERTIFICATE OF LIABILITY INSURANCE DSIn/aU 11 PRODUCER INNTHIS ASSURANCE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 501 E Lowry Blvd 7501E o Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED ROCKY RIDGE NURSERY 8 LANDSCAPE LLC INSURER PINNACOL ASSURANCE 41190 INSURER B. 327 EAST COUNTY RD 60 FORT COLLINS, CO 80524 INSURER C INSUPERD. INSUPERE. COVERAGES THE POLICIES OF INSU RANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REOU IREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMM ENT 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. INSR ACC'L POLICY EFFECTVE PamrEXPIRAnOry LOP INSPD LYPEOFINSUPPNCE POLICYNU.MSER DArEIMM/DOM/YY1 OATE(MMNO'M) UMW OENERALLWBILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL UA9IUTY CLAMS MADE OCCUR PREMISES MED E'R(All ane lf..n) PEPSg ALS ADV INU RY C£NL AOOREOATE UMITNPUEPS PER CENE7AL AGGREGATE PRODVLTS-LOMPIOP AGO PDULY PPQ:ECT LOC AUTOMOBILE LW 8ILITY COMBINED ANS'YE LIMIT ANY AUTO (ES-1C derv) BODILYINIURY ALL WMED AUTCS SOHEOULED ALTOS (Pa"p " BODILYINIURY HIRED AUTOS NONOWNEDAUTOS (PETBm'A'N PROPERry DAMAGE (PATO..'YD DARADE LU1311I1 AUTOONLY EAACCOENT OTHER THAN _A ACC ANYAUTO AUTO ONLC AG EXCES LUMHRELN W BILITY EACH OCCURRENCE AGGREGATE OCCUR CWMSMADE DI ETENTION i WORKERS COMPENSATIONAND -TO TATLL OTHER A EMPLOYER'S LWBILITY ANY ?ROPRI ETOPRMTNE W EXECUTIVE 4061992 10/012010 10/01/2011 ro.RYUMCC Far, ELNAcaTENT $109,000 OFFICEFMCM9ER E%G LUOEDI E LOISEASE - EA EMPLOYEE $100.000 If yt# OleazeoaacCba mbxSPECIAL PROVISIOP16 blow E LDISEACE-PJ'JLYUMIT 1500000 OTTER DESCRIPTION OF OPER nONSLOCATIONS HIOLESI XCLUSIONS ADDED BY ENDORSEMENT(SPECIALPROMSIONS CERTIFICATE HOLDER CANCELLATION 1298447 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T P 0 BOX 530 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Irma Vigil ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 03/23/2011 10:54:19 AM PINNACOL ASSURANCE PAGE 3 OF 3 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS P O BOX 580 FORT COLLINS CO 80522 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. 03/23/2011 10:54:19 AM PINNACOL ASSURANCE PAGE 1 OF 3 INNAVL ASSURANCE Date 03/23/2011 To: CITY OF FORT COLLINS Fax Number: 970-221-6707 From CUSTOMER SERVICE 303-361-4000 Phone Number: 303-361-4020 Subject: Document: UW13533533874 Policy #: 4061992 Total Pages: 3 Notes: Please contact us if you did not receive any portion of this transmission. 7501 E. Lowry Blvd. Denver, CO 80230-7006 Phone:303-361-4000 www.pinnacol.com The information contained in this telecopy transmission is confidential or privileged and is intended to be for the use of the individual or entity named on this transmission sheet. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this telecopied information is prohibited. If you have received this telecopy in error, please notify us by telephone immediately so that we can arrange for the retrieval of the original transmission.