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Home My WebLink About398430 CREATIVE HARDSCAPE COMPANY - INSURANCE CERTIFICATEA`bR H CERTIFICATE OF LIABILITY INSURANCE 9/30/20 1Y' 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 endorsements . PRODUCER Moody Insurance Agency, Inc. 8055 East -Tufts Avenue Suite 1000 Denver CO 80237 CONTACT Pat Rath NAME: PHONE . (303)824-6600- FAX(Ax'Nei.cloala7o-olae' EbmAIL .prathQmoodyins.com INSURERS AFFORDING COVERAGE NAICe INSURERA:Cincinnati Insurance Company 10677 INSURED Creative Hardscape Company, Inc. 2435 S. Cody Court Lakewood CO 80227 INSURERB:Pl.=acol Assurance 41190 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:11 Master 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 LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER EFF MWDDY YYY MO DDY EXP YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE QOCCUR P5226885 0/1/2011 0/1/2012 DAMAGE TO RENTED PREMISES fEa occurrence $ Soo, 000 NED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X Additional Insured IA450 11/87 GENERAL AGGREGATE $ 2,000,000 ttached GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PHOLOC X I $ AUTOMOBILE LIABILITY Ea eB Wes, SINGLE LIMIT 1,000,000 %f BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS AP5226885 0/1/2011 0/1/2012 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Peraccident) $ HIRED AUTOS X NON -OWNED AUTOS X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,600,000 AGGREGATE $ 2,000,000 A EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ AP5226885 0/1/2011 0/1/2012 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N XI WC STATU- OTH ANY PROPRIETORVPARTNERIEXECUTIVE OFACER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 4073810 0/1/2011 0/1/2012 EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT E 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks schedule, it more space is required) The City of Fort Collins is named as Additional Insured with regards to General Liability. (970)221-6707 The City of Fort Collins PO Box 580 Fort Collins, CO 80520 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 25 (2010/05) It Rath/DONBRI O 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005),01 The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED - WHEN REQUIRED IN CONTRACT OR AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE FORM. CA 101, is amended as follows: A. SECTION 11- WHO IS AN INSURED, 2. is amended to include: e. Any person or organization, hereinaf- ter referred to as ADDITIONAL INSURED: (1) Who or which is not specifically named as an additional insured under any other provision of, or endorsement added in, this Cov- erage Part; and (2) For whom you are required to add as an additional insured on this Coverage Par under: (1) A written contract or agreement; or (2) An. oral agreement or contract where a certificate of insurance showing that person or organiza- tion as an additional insured has been issued; but only with respect to liability aris- ing out of "your work" performed for that additional hisurcd by you or on your behalf. A person or organiza- tion's status as an insured under this endorsement continues for only the period of time required by the written contract or agreement, but in no event beyond the expiration date of this Coverage Part. If there is no written contract or agreement, or if no period of time is required by the written con- tract or agreement, a person or organi- zation's status as an insured under this endorsement ends when your opera- tions for that insured are completed. B. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended to include: come effective during the term of this Coverage Part. The contract or agreement also must be executed prior to the "bodily injury" "property damage" or "personal and advertising injury" to which this en- dorsement pertains. 2. Conformance to Specific Written Con- tract or Agreement If a written contractor agreement.between you and the additional insured specifies that coverage for the additional insured: a. Be provided by the Insurance Services Office additional insured form number CG 2010 or CG 20 37 (where edition specified); or b. Include coverage for completed opera- tions; or c. Include coverage for "your work"; and where the limits or coverage provided to the additional insured is more restrictive than was specifically required in that writ- ten contract or agreement, the terms of Paragraphs 3., 4.a.(2) and! or 4.b., or any combination thereof, of this endorsement shall be interpreted as providing the limits or coverage required by the terms of the written contract or agreement, but only to the extent that such limits or coverage is included within the terms of the Coverage Part to which this endorsement is attached. If, however, the written contract or agree- ment specifies the Insurance Services Of- fice additional insured form number CG 20 10 but does not specify which edition, or specifies an edition that does not exist, Paragraphs 3. and 4.a.(2) of this endorse- ment shall not apply and Paragraph 4.b. of this endorsement shall apply. 3. SECTION III - LIMITS OF INSURANCE is amended to include: L Automatic Additional Insured Provision The limits applicable to the additional in- sured are those specified in the written The written or oral contract or agreement contract or agreement or in the Declara- must be currently in effect or be tions of this Coverage Part, whichever are less. If no limits are specified in the writ- ten contract or agreement, or if there is no Includes copyrighted material of Insurance IA 450 1187 A Services Office, Inc., with its permission. Page I of 2