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HomeMy WebLinkAbout126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (7)OP ID: JL 'AI �R� CERTIFICATE OF LIABILITY INSURANCE DATE /11 oan an 1 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 720-962-0930 Six & Gevin Insurance Inc #4 9 720-962-0942 Denver Branch 225 Union Blvd. #575 Lakewood, CO 80228 NAMEACT Olivia Blair PHONE r"c 720-962-0942 JAlc No, Es ).303-653-0026 ac No). E-MAIL six- evin ADDRESS: oblair @ 9 g•com PRODUCER A&MLA-1 CUSTOMER o k: INSURER(S) AFFORDING COVERAGE NAIC p INSURED A & M Landscape Concepts, Inc. Allen Winter 749 S. Lemay Avenue, PMB 221 Fort Collins, CO 80524 INSURER A:PinnacolAssurance 41190 INSURER B: INsuRERc: INSURER D : INSURER E INSURER F : rc DTrclr ATE NIIMBER: REVISION NUMBER: V 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 I TYPE OF INSURANCE IIN;R POLICY NUMBER MM OI DY/YYYY MM/DDYIYYYY LIMITS TR WVD GENERALUABWTY EACH OCCURRENCE $ COMMERCIAL GENERAL UABILIP( -DAMAGE'TO PREMISES Ea occurrence)$ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY n PRO- n LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY I NJURY(Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULEDAUTOS HIRED AUTOS $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN MFand tar, in NHR EXCLUDED? N / A 4115033 09I01/11 09/01112 X WCSTATU- X OTH- RV IMIT ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE -POLICY LIMIT 1 $ 500,00 If yes, describe and r DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Weed Mowing & Abatement r ERTIF!CATE H01 nFR CANCELLATION CTYFT-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Y ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing & Risk Management PO BOX 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE @ 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: JL ,d►�oizo CERTIFICATE OF LIABILITY INSURANCE DAT08/1 OIYYVY) OS/18/11 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 720-962-0930 Six 8< Gevin Insurance Incf%4 9 720-962-0942 NAMEACT Olivia Blair PHONE 303-653-0026 FArc No : 720-962-0942 MC, No Ezt : Denver Branch 225 Union Blvd. #575 - Lakewood, CO 80228 E-MAIL oblair SX- eVln ADDRESS: g g'GOm IPRODUCER CUSTOMER ID #. A&MLA-1 INSURER(S) AFFORDING COVERAGE NAIC It INSURED A 6 M Landscape Concepts, Inc. INSURER A; Pinnacol Assurance 49190 INSURER B: Allen Winter 749 S. Lemay Avenue, PMB 221 Fort Collins, CO 80524 INSURER C INSURER D INSURER E INSURER F oCAVE Aulsaeoo. HCVISium NUMBER: I Wv= MVCJ v a ter.• .-.-.....�.-. 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 OF INSURANCE DDL POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ffA_M_A=_R;N_TED PREMISES Ea occurrence IS COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE El OCCUR PERSONAL It ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ $ POLICY n PRO LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BOD I LY I NJURY(Per person) $ ANY AUTO - BODILY INJURY(Peraccident) $ ALL OWNED AUTOS PROPERTYDAMAGE (Per accident) $ SCHEDULEDAUTOS HIRED AUTOS S NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION X WC STATU- X OTH- LIMITS ER A ANDEMPLOYERS'LIABIUTY ANY PROPRIETORIPARTNEPJEXECUTIVE Y/❑YN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A 4115033 09/01111 09I01112 EL, EACH ACCIDENT EACH $ SOQ,000 E.L. DISEASE - EA EMPLOYE $ 500,000 EL.DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: All Projects/All Locations r CmTrrinA= uni MED CANCELLATION CTYFT-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing or Risk Mgmt P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 y7 © 1988-2009 ACORD CUKPUKA I IUN. AII rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: JIL CERTIFICATE OF LIABILITY INSURANCE DAT0811811 /11 0811 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 720-962-0930 Six & GevingInsurance Inc tt4 720-962-0942 NAMEpCT Olivia Blair AI N E,�,303-653-0026 FAX, AI Ne,720-962-0942 Denver Branch 225 Union Blvd. #575 Lakewood, CO 80228 E1MAIL oblair@six-geving.com AOORESS: PRODUCER A&MLA-1 CUSTOMER ID N: INSURER(S) AFFORDING COVERAGE NAIC If INSURED A & M Landscape Concepts, Inc. INSURER A:Pinnacol Assurance 41190 INSURER B: Allen Winter 749 S. Lamely Avenue, PMB 221 Fort Collins, CO 80524 INSURER C: INSURER 0 INSURER E INSURER F : COTICli"AYC IdllAan CD- KYVIJIVR 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. bbL POLICY EFF POLICY EXP I�TR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ MAGETURE PREMISES Ea occurrence $ MED EXP(Any one person) $ CLAIMS -MADE F-IOCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO LOC POLICY AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS 8 NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below NIA 4115033 09(01N1 09/01112 STATU-_ X WRV IMIT X OTR E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ SOO,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Spring Canyon Playground Overflow Parking City of Fort Collins Purchasing PO Box 580 215 North Mason Fort Collins, CO 80524 CTYFT-3 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 V Ty80-LUUy fiV VRU LV Rr VRM11VIY. NII IIIjNU I<JQrrCu. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD