Loading...
HomeMy WebLinkAbout111134 MILL BROTHERS LANDSCAPE & NURSERY - INSURANCE CERTIFICATE—', GP IO: I 144C"ROE CERTIFICATE OF LIABILITY INSURANCE °A'as,3o;;; Y' 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 Al the terms and conditions of the policy, certain certificate holder in lieu of such endorsement( PRODUCER PFS Insurance Group - JT 4848 Thompson Pkvi Ste 200 Johnstown, CO 80534 Dave Janssen INSURED Mill Brothers Landscape & Nursery, Inc., MB Design Group & MB Golf 6121 E. Harmony Road Fort Collins, CO 80528 L. INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to may require an endorsement. A statement on this certificate does not confer rights to the INSURER C : Travelers Indem [4HVq:tTHd 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 ADDL'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MMIDOIYYn MMIDDIYYYY LIMITS A qRAL LIABILITY OMMERCIAL GENERAL LIABILITY -MADE � OCCUR lanket Add'I Ins C06764N559 07/01/11 07/01/12 EACH OCCURRENCE DAMAGE To"RENTED300,000 PREMISES Ea occurrence $ 1,000,00 $CLAIMS MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 X I Blanket Waiver GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY A PRO n LOC IECT PRODUCTS - COMPIOP AGG $ 2,000,000 $ A A A AUTOMOBILE LIABILITY ANY Auro ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 81067641,1559 07101111 07101112 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ A UMBRELLA LIAB EXCESS LABCLAIMS X OCCUR -MADE CUP6764N559 07101111 07101112 FACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,00 DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXEOUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 3037054 BLANKET WAVER OF SUBRO 07/01/11 07/01/12 X WC STATU- OTH- TORv_LIMITS _EB eL. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT I$ 1,000,000 • A Float Pollution IRCPLBE002063 189 07I01111 07I01/12 (Limit Limit 500,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: 7034 Cottonwood Glen Overflow Parking Lot Landscape & Irrigation. The City, its officers, agents and employees (see note attached) CITYFT3 City of Fort Collins P.O. Box 580 Ft. Collins„ CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4�1111b --- ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD —', GP IO: I 144C"ROE CERTIFICATE OF LIABILITY INSURANCE °A'as,3o;;; Y' 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 Al the terms and conditions of the policy, certain certificate holder in lieu of such endorsement( PRODUCER PFS Insurance Group - JT 4848 Thompson Pkvi Ste 200 Johnstown, CO 80534 Dave Janssen INSURED Mill Brothers Landscape & Nursery, Inc., MB Design Group & MB Golf 6121 E. Harmony Road Fort Collins, CO 80528 L. INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to may require an endorsement. A statement on this certificate does not confer rights to the INSURER C : Travelers Indem [4HVq:tTHd 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 ADDL'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MMIDOIYYn MMIDDIYYYY LIMITS A qRAL LIABILITY OMMERCIAL GENERAL LIABILITY -MADE � OCCUR lanket Add'I Ins C06764N559 07/01/11 07/01/12 EACH OCCURRENCE DAMAGE To"RENTED300,000 PREMISES Ea occurrence $ 1,000,00 $CLAIMS MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 X I Blanket Waiver GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY A PRO n LOC IECT PRODUCTS - COMPIOP AGG $ 2,000,000 $ A A A AUTOMOBILE LIABILITY ANY Auro ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 81067641,1559 07101111 07101112 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ A UMBRELLA LIAB EXCESS LABCLAIMS X OCCUR -MADE CUP6764N559 07101111 07101112 FACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,00 DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXEOUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 3037054 BLANKET WAVER OF SUBRO 07/01/11 07/01/12 X WC STATU- OTH- TORv_LIMITS _EB eL. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT I$ 1,000,000 • A Float Pollution IRCPLBE002063 189 07I01111 07I01/12 (Limit Limit 500,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: 7034 Cottonwood Glen Overflow Parking Lot Landscape & Irrigation. The City, its officers, agents and employees (see note attached) CITYFT3 City of Fort Collins P.O. Box 580 Ft. Collins„ CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4�1111b --- ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ni�TEPA�: HOLDER CODE CITYFT3 MILLB-2 PAGE 2 INSUREDS NAME Mill Brothers Landscape & OP ID: RC DATE 06/30/11 on a ni�TEPA�: HOLDER CODE CITYFT3 MILLB-2 PAGE 2 INSUREDS NAME Mill Brothers Landscape & OP ID: RC DATE 06/30/11 on a