HomeMy WebLinkAbout125758 FULLER LANDSCAPING - INSURANCE CERTIFICATE (6)Mar, 23. 2011 3:27PM
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No.1480 P. 1/1
CERTIFICATE OF LIABILITY INSURANCE
D23/R1011Y
3/23IN
/2011
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: It 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 certlflOte does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Colorado BW Insurance Agency, Inc.
1075 W Rorsetooth Rd, Ste 106
CONTACT Amanda GS ow
NAME:
PeOME . (970) 223-0924 PAX ec: (eTO):ST•Xpgx
doortE �•grunovr�hankofthewest. cem
PRODUCER00045682
Fort Collins CO 90526
INSU7C"INSURED
INSURER A:COlora
INSURER B
Fuller Landscaping, LLC
4836 Kiva Drive
INSURER O:
INSURER D:
INSURER E -
Laporte CO 80535
INSURER K•
COVERAGES CERTIFICCTF NIIMRFR•2U11-201.2 15 a1 c,.0 a.ra..
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.
ILTR
TYPE OFINSURANCE
POUCYNUMBER
MM/O0nYY`CY EFF
UNITS
GENERALLUSH-ITY
EACH OCCURRENCE
S 11000,000
A
X COMMERCIALGENEWILLIABIUTY
CIAIMS-MADE ❑X OCCUR
CEPS617571
4/24/2011
7/2412012
PRFFI S Ea occaremcd
S 100,000
MED EXP(An one exn)
S 15,000
PERSONAL B ADV INJURY
S 11000,000
GENERALAGGREGATE
S 2,000,000
GEML AGGREGATE LIMIT APPLIES PER
X POLICY PRO- LOC
PRODUCTS - COMPOR AGG
$ 2, 000,000
S
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
AUTOS
AUTOS
(Ee scclden0
BOO:LY INJURY (Per person)
g
BODILY NJVRY(Per eCCfdenll
S
PROPERTY CAMA3E
per EcciOenq
S
LNON-OWNEDAUTOS
AUTOS
S
AB
OCCUR
EACH OCCURRENCE
$
R
CUIM$.MgOE
AGGREGATE
S
DEDUCTIBLE
$
q
ReTENIION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILI Y
ANY PROPRIETOWPARTNER/EXECUTIVE �
OFFICERIMEM3ER EXCLUDED?
NrA
KM1: 3TATU- GTH-
^
EL EACH ACCIDENT
S
E,L. D13PASE-EAEMPLOYEe
S
(MledruDry In NHl
As dRoaOa under
DESCRIPTION OF OPERATIONS baeu
E.L. DISEASE • POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anson ACORU 101, AddlRonel Remaha Schodula, If more sp4c, IS mquire(I)
Certificate holder is listed ae Additional Insured e6 respects General Liahili Cy and their interest in operations of
the named insured.
(970)221-6707
City of Fort Collins
Purchasing Department
215 North Mason
FO Box 850
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DEUVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORO 25 (20091091
Reinoehl/EVEAG
(Z 14RN.2nne A