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Home My WebLink AboutATKINSON ENTERPRISES DBA GOLDEN LANDSCAPING - INSURANCE CERTIFICATEOP ID: SR '"lli CERTIFICATE OF LIABILITY INSURANCE DAT10/26D/YYYY) 10126/11 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 endorsements). PRODUCER A:•.. _. .. _ _ . 303-420-1637 Carver and As50ClateS - 7710 Ralston , 30331-9237 .__,� Arvada, CO 80002 _ Don W Carver ' CONTACT NAME: NE ,ox: C No: E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: GOLDE-4 INSURERS AFFORDING COVERAGE NAIL # INSURED Atkinson Enterprises DBA Golden Landscaping 12650 W 64th Ave U E # 469 INSURERA: Secura Insurance Company 22543 INSURER B: Pinnacol Assurance 41190 Arvada, CO 80004 INSURER C: INSURER D : INSURER E : INSURER F: COVERAGES CIEK I IFICATF NI IMRFR- oo nc,^L1 ,111- 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 INSURANCEINSIR Am POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY E%P MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X X COMMERCIAL GENERAL LIABILITY TC3154730 10/01/11 10/01/12 PREMISES Ea occurrence $ 10Q00 MED EXP(Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,001 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 ] X POLICY' PRO- TOO .. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO .A3154731 10/01/11 10/01/12 .. (Ea accident)1,000,00 S. X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ _ SCHEDULED AUTOS X PROPERTY DAMAGE A HIRED AUTOS (Per accitlent) $ X A NON -OWNED AUTOS $ UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A CESS LIAR CLAIMS -MADE CU3154732 10/01/11 10/01/12 tXRETENTION DUCTIBLE 8 $ 10,000 $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ITORY IMIT B ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA 4117571 04/01/11 04/01/12E.L. EACH ACCIDENT $ 1,000,00 (Mandatory in and # yes, atory idescribe under E.L. DISEASE - EA EMPLOYEE$ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. i/ more space Is required) City of Fort Collins is additional insured if required by written contract for all projects FORTC-6 City of Fort Collins Purchasing and Risk Management P. O. Box 580 Fort Collins, CO 80522 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 ISDO-LUUS ALUKU OOO KPHATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD