HomeMy WebLinkAbout129339 ALPINE GARDENS - INSURANCE CERTIFICATE (6)Clients: 18133
ALPGA
ACORDa. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
D9/27/2011
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 INSUREIRI AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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
CONTACT NAME: Kelly Beauvais
Flood & Peterson Ins., Inc.
PHONE A
ac N. Er : 970 266-7121 : 970 506-6846
AID, No
P. O. Box 578
AODREss: KeIIy.Beauvais@floodandpeterson.com
Greeley, CO 80632
PHUUUGEK
970 356-0123
CUSTOMER ID a:
INSURER(S) AFFORDING COVERAGE
NAICI
INSURED
INSURER A. Travelers Insurance Company
Nature, Inc.; Alpine Gardens,
INSURER B: National Union Fire Insurance
& Fossil Nursery
l Creek Nurssery
Pinnacol Assurance
7029 S. College Avenue - - -
INSURER C:
Zurich
Fort Collins, CO 80525
INSURERD:
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 CONTRACTOR 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
LIEL
TYPE OF INSURANCE
AMMUL
R
POLICY NUMBER
POLICY EFF
MWDDN
POLICY EXP
MWDDN
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
6605679B934TIL11
I
6/01/2011
06/01/2012
EACH OCCURRENCE
$1000000
PREMISES JE. occurrence)
$100000
MED EXP (Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X 1FCT 136 LOC
PRODUCTS - COMP/OP AGG
s2,000,000
$
D
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
PRA399297807
6/01/2011
06/01/201
COMBINED SINGLE LIMIT
(Ea accident)
$1.000.000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
1XX
PROPERTY DAMAGE
(Per accitlent)
$
$
B
X
UMBRELLALIAB
EXCESS
EXCESSLIAB
OCCUR
CIAIMS MADE
BE067919189
6/01/2011
06/01/201
EACHOCCURRENCE
$1 000 000
AGGREGATE
$1000000
DEDUCTIBLE
RETENTION
$
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERJEXECUTIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NfA
4033906
10/01/2011
10/01/201
i
We srnrD OTH
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spare is required)
"'PURCHASING DEPTaa'
Certificate holder is listed as additional insured.
City of Ft. Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
281 N: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS.
81 N. College Avenue
Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
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