HomeMy WebLinkAboutVERDAD INC DBA LAWN DOCTOR OF FORT COLLINS INC - INSURANCE CERTIFICATEClient#:29473
VERDAD
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE
1127/2NDIYYYY)
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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, --- - - --- "�
. ..a _.. ... .. _
NAME: Tina Artman/KLT _
Althans Insurance Agency, Inc. -
PHONE 440 247-6422 440 247-2394-
AIC No 1 AIC,No:
543.East Washington St. - -
E-MAIL
P.O.Box 570
ADDRESS: _
INSURER(S) AFFORDING COVERAGE -
NAIC N
Chagrin Falls, OH 44022
INSURERA: Westfield Insurance Co.
24112
INSURED
INSURER B :
Verdad, Inc. dba Lawn Doctor of Fort
Collins, Inc.; Verde Holdings, LLC
INSURER C
315 N. Link Lane
INSURER D :
Fort Collins, CO80524
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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
INSR
WVD
POLICY NUMBER
POLICY EFF
MMIDOIYYYY
POLICY EXP
allili
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ER OCCUR
X PD Ded:500
CWP5668338
2/01/2012
0210112013
_
EACH OCCURRENCE
$1 000000
PREMISESOEa o¢vance
$30O OOO
MED EXP (Any one person)
$1 O 000
PERSONAL B ADV INJURY
$1,000,000 -
GENERAL AGGREGATE -
$2,000,000--- '
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO
JECT7 LOC
PRODUCTS - COMP/OP AGO
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
CWP5668338'
2/01/2012
02/01/201
(EdCOMBINED ISINGLE LIMIT
1,000,000.
X
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per acadent
$
$
A
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMSMADEAGGREGATE
CWP5668338
2/01/2012
02/01/2013
EACH OCCURRENCE
$1,000,000
$1,000,000
DED I X RETENTION$0
$
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in Ni
h Yes, describe under
OESCRIRLON J_ F OPERATIONS below
NIA
WC STATU- OTH-
UER
E.L. EACH AGGIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
A
A
A
PesVHerb
Auto Pollution
Inland Marine
_T
CWP5668338
CWP5668338
CWP5668338
2/01/2012
2/01/2012
2/01/2012
0210112013
02/01/2013
0210112013
$1,000,000
$1,000,000
$60 500 If$500 Ded.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate Holder
City of Fort Collins
215 N. Mason St. 3rd Floor
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
SI IS00 TU AUUKU GUKPUKAI IUN. All rights reserved.
ACORD 25 (2010105) 1 of 1
#S331677/M331528
The ACORD name and logo are registered marks of ACORD
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