HomeMy WebLinkAbout129339 ALPINE GARDENS - INSURANCE CERTIFICATE (5)Client#: 18133
ALPGA
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
D TE(MM20D ;YY'
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 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 endorsement(s).
PRODUCER
Flood & Peterson Ins., Inc.
P. O. BOX 578
Greeley, CO 80632
970 356-0123
CONTACT
NAME: Kelly Beauvais
PHONE g70 266-7121 A 970 506.6846
A/D No Est : A/C, No
AooREss: Kelly.Beauvais@fpinsurance.com
PRODUCER
CUSTOMER ID s:
INSURERIS) AFFORDING COVERAGE
NAIC X
INSURED
Naturescape, Inc.; dba: Alpine Gardens,
& Fossil Creek Nursery
7029 S. College Avenue
INSURER A: Travelers Insurance Company
INSURER B: National Union Fire Insurance
INSURERC: Pinnacol Assurance
INSURER D: Zurich
Fort Collins, CO 80525
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
TYPE OF INSURANCE
POLICY NUMBER
MWDDNYY FF
MMIDDnXP
LIMITS
*
GENERAL LIABILITY
X COMMERCIAL GENERAL UABIUTY
CLAIMS -MADE F RI OCCUR
6605679B934T
6/01/2011
06/01/2012
EACH OCCURRENCE
$1000000
IAA E
PREMISES E= nce
$100000
MED EXP (Any one person)
s5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRo- I$
PRODUCTS - COMP/OP AGG
$2,000,000
D
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
PRA399297806
6/01/2011
06/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$1000000
X
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Par accident)
$
X
X
$
$
B
X
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
41132417
6/01/2011
06/01/201
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1,000,000
DEDUCTIBLE
RETENTION 10000
$
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYTOBY
ANY PROPRIETOR/PARTNERJEXECUTIVEY/N
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, deacnbe under
DESCRIPTION OF OPERATIONS below
WA
4033906
10/01/2010
10/01/2011
X WG STATU- I OTH-
LIMITS ER
E.L. EACH ACCIDENT
S1,000,000
E. L. DISEASE - EA EMPLOYEE
$1,000,000
E.DISEASE- POLICY LIMIT
$1000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, r dditi onal Remarks Schedule, If more space Is required)
***PURCHASING DEPT""
Certificate holder is listed as additional insured.
City of Ft. Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN: Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
9 P ACCORDANCE WITH THE POLICY PROVISIONS.
281 N. College Avenue
Fort Collins, CO 80524 1 AUTHORQED REPRESENTATIVE
7r4,4r/4W__t_
01988.2009 ACORD CORPORATION. All rights reserved.