No preview available
HomeMy WebLinkAbout128847 CRYSTAL LANDSCAPE SUPPLIES INC - INSURANCE CERTIFICATEVr lu Jr ,a►coRO" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11/28/11 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 970-635-9400 PFS Insurance Group -JT 970-635-9401 4848 Thompson Pk wy, Ste 200 Johnstown, CO 80534 Keith Benner NAMEACT PHAICONE FA% Eat: AIC No: E-MAIL ADDREss: PRODUCER CRYST-6 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIL # INSURED Crystal Landscape Supplies Inc 6616 N. Garfield Ave. INSURERA: Plnnacol Assurance 524210 INSURER B:Allied Insurance Company INSURER C Loveland, CO 80538-1115 INSURER D: INSURER E INSURER F ua000. COVERAGES CtK I WIL.A I C INUIVIDIMM.-------- BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS DDL B POLICY EFF POLICY EXP LIMITS INSR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYVY 1,000,000 GENERAL LIABILITY EACH OCCURRENCE $ B X GENERAL LIABILITY ACPGLA07543108871 12/0111'1 12101/12 UM-AM70 RENTED PREMISES Ea occurrence $ 100,00 COMMERCIAL $ 5,000 CI.AIMSWADE � OCCUR MED EXP (Any one person) PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ X POLICY PRO LOC COMBINED SINGLE LIMIT $ 1,000,00 AUTOMOBILE LIABILITY (Ea accident) O ACPBA75431008871 12101/11 12101112 BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) S NED AUTOS PROPERTY DAMAGE $ LED AUTOS (Per accident) UTOS Comp Ded $ 1,00 NED AUTOS &RETENTION Coll Ded s 1,00 LA LIAB OCCUR EACH OCCURRENCE 8 LIAB CLAIMSlIADE NIA AGGREGATE $ $ IBLE ION E X WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 4041312 06/01/11 06101/12 E.L. EACH ACCIDENT $ 100,00 100,00 A ANY PROPRIETORARTNERJEXECUTIVE ❑ IP NIA OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS below ACPCIM7643108871 12/01111 12/01112 Equipment 5B5,82 g Inland Marine 1,00 Ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AUach ACORD 101, Additional Remarks Schedule, If more space Is requiretl) If required by written contract or written re a ement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability. CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 215 North Mason Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 •.......... ��nnn r,Ynn/an ATlrl L1 All nnhln Inc cel ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD