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HomeMy WebLinkAbout279796 COCAL LANDSCAPE SERVICES INC - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE 11141 201282011T1207Dm-rY) F,20 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 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTA NAME: -PHHONE Ez,: 3=837_8500 jac Nd):303-831-5295_ nooe ss:contractols v ic.ci?m @ 9- - INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:TraV lers Property INSURED INSURER B:Plnnacol Assurance 25658 CoCal Landscape Services, Inc. INsURERc:Travelers Indemnity (C CoCal Landscape Construction Co. 12570 E. 39th Ave. -Company INsuRERD:ThgPhoix ll _ennsurance_Companv 25623 Denver CO 80239 INsuRERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 2096037247 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 ADDL INSR SUER WVD POLICYNUMBER P10L.C/YYYY MMIODf/YYY LIMITS D GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR - IDTCO2986PO68PHX12 1/1/2012 /1/2013 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 $300,000 MED EXP(Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ^ PRO IFCT n LOG PRODUCTS-COMP/OP AGG $2,000.000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIIREDAUTOS X AUTO-0WNED DT8102986PO68TILl 2 1/1/2012 /1/2013 COMB Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per auident) $ X PerrOPERTY awd nOAMAGE $ C NUMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE DTSMCUP2986PO68TIL12 1/1/2012 �/1/2013 EACH OCCURRENCE $5,000,000 I AGGREGATE $5,000,000 OED IX I RETENTION$10,000 g 6 WORKERS COMPENSATION-0136357 AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IfY describe under DESCRIPTION OF OPERATIONS below NIA 1/1/2012 ///2013 X WC STATU- I IIOTH- YLLMIT$J� E.L. EACH ACCIOEM $1,000,000 E.L DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) If required by written contract or written agreement, the City of Ft. Collins, its officers and employees are included as Additional Insured for ongoing operations under General Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ft. Collins;City's Director of Purchasing & Risk ACCORDANCE WITH THE POLICY PROVISIONS, Mgmt P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ©1988.2010 ACORD CORPORATION. All rinhte ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD