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Home My WebLink About102136 KORBY SOD LLC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDO/VYVV) 10/20/2011 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 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 ALESSANDRA INSURANCE AGENCY 3100 S Parker Rd #100 CONTACT NAME' PHONE 303)745-0404 FAX (303)745-0544 EMAIL (INC,ND: ADDREss:ralessandra®£armersagent. com Aurora, CO 80014 INSURER(E) AFFORDING COVERAGE NAICp INSURER A TRUCK INSURANCE EXCHANGE INSURED Korby Sod LLC INSURER B : Farmers Insurance Group INSURER C: 6406 ecr 60 3201 E Mulberry St unit F INSURERD: NSURER E: Wellington, CO 80549 NSURER F COVFFI CERTIFICATE NIIMRFRREVISION 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. INSP LTA TYPE OF INSURANCE ADDL INSR SUER WD POLICY NUMBER P IT EFF MM/DDNYYY POLI Y EXP MM/DD/YYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE CI OCCUR 604863197 11/10/11 11/10/12 EACH OCCURRENCE $ 1, 000, 000 PREMISES Ea occurrence $ 100, 000 MED EXP(Any one person) $ 5, 000 PERSONAL aADVINJURY s 1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2, 000, 000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED X AUTOS X AUTOS X HIRED AUTOS )[ NON -OWNED AUTOS 604863197 11/10/11 11/10/12 Eaaccitlent $ 1, 000, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accitlent) $ PROPERTY DAMAGE Per accident) $ p, X UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS-MADE 604863445 11/10/11 11/10/12 EACH OCCURRENCE $ 1,005,000 AGGREGATE s 1,000,000 DED X RETENTION$ 10, 000 $ E WORKERS COMPENSATION ANDEMPLOVERS'LIABILITV ANY DFFILEROPRI TOWPARwDwo ECUTIVE Y� (Mundabry m NH) IDf yes, describe under ESCRIPTION OF OPERATIONS below N/A A04171131 02/23/11 02/23/12 I WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE -POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CITY OF FT COLLINS 215 NORTH MASON FT COLLINS CO 80522 ATTENTION: STEVE LUKOWSKI FAX: 970-221-6849 L9flCLMARW-\LLgJ\I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD ACOR "I f CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 10/20/2011 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 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. It 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 ALESSANDRA INSURANCE AGENCY 3100 S Parker Rd #100 NAME: PHONE 303)745-0404FAX Ext. ac.No:(303)745-0544 E-MAIL ADDREss:ralessandra®farmersagent. com Aurora, CO 80014 NSURER(S) AFFORDING COVERAGE NAICI INSURER A: TRUCK INSURANCE EXCHANGE INSURED INSURER B : Farmers Insurance Group Korby Landscape LLC INSURER C: 3201 E Mulberry St unit F INSURER D' NSURER E' Fort Collins, CO 80524 970 568 7633 INSURER F: r()VFRAi r.FRTIFlr.ATF NHMRFR- RFVICIr)N NHMRFR THIS IS TO CERTIFY THATTHE-POLICIESOF 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. INTR TYPE OF INSURANCE INBR s a VIVO POLICY NUMBER POLICY P V MM/V L OY EXP MIC LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �I OCCUR 604863001 11/10/1111/10/12 EACH OCCURRENCE $ 1,000, 000 PREMISES Ea occurrence $ 100, 000 MED EXP(Any one person) $ 5, 000 PERSONAL A ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PEA LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ LIABILITY ANVAUTO ALL OWNED SCHEDULED X AUTOS NON -OWNED HIRED AUTOS HAUTOS 604863001 11/10/11 11/10/12 COMBINED SINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ rOMOBILE BODILY INJURY (Per accident) $ UAMAi Per accident S 3 A 4 UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 604863444 11/10/11 11/10/12 EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 DED X RETENTION S 10 , 0 0 0 1 Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERrEXECUDVE YIN OFFICER/MEMBER EXCLUDED? (MenEetery In Ni It yes, describe under DE SCRIPTION OF OPERATIONS below NIA A04171131 02/23/11 02/23/12 I WCSTATU- OTH- TORV LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF FT COLLINS , 215 NORTH MASON FT COLLINS CO 80522-0580 ATTENTION: STEVE LUKOWSKI FAX:970-221-6849 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD