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Home My WebLink About126682 A & M LANDSCAPE CONCEPTS INC - INSURANCE CERTIFICATEOP ID: JL 'A"l �' CERTIFICATE OF LIABILITY INSURANCE DAT08/17/12 ) 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 720-962-0930 Six & Geving Insurance "Inc #4 -- -j 720-962-0942 Denver Branch 225 Union Blvd. #575 Lakewood, CO 60226 I. i -L CONT- NAME ACT Jessie Lee PHONE 303.653-0022 _ FAX •720-962-0942 - -Sinai° EXt ` _ _ (uC Not: AODREss:jlee@six-geving.com_ PRODUCER A&MLA-1 _CUBTOMER INSURERIS) AFFORDING COVERAGE NAIL # IL INSURED A & M Landscape Concepts,Inc. INSURER A; Pinnacol Assurance 141190 Allen Winter 749 S. Lemay Avenue, PMB 221 Fort Collins, CO 80524 INSURER B: INSURER C INSURER D 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 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 TR TYPE OF INSURANCE IA LD6-$UBR POLICY NUMBER ry1M OID/YYFF MMIDDY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGET6RENTED PREMISES (Ea occurrence)_ $ MED EXP (Any one person) $ PERSONAL &ADV INJURY_ $. ' GENERAL AGGREGATE. $. BEVL AGGREGATE LIMIT APPLIES PER POLICY PRO-IFCT n LOC PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO - ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ' COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY ?Per accident) $ PROPERTY DAMAGE (Per accident) $ S $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ _ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4115033 09/01/12 0910111B WC STATU- OTH- X TORY LIMITS E_F_ EL EACH ACCIDENT $ 500,00 E.L. DISEASE- EA EMPLOYE $ 500,000 E.L. DISEASE- POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Spring Canyon Playground Overflow Parking CTYFT-3 City of Fort Collins Purchasing PO Box 580 215 North Mason Fort Collins, CO 80524 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 @ 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD OP ID: JL '44co�H15CERTIFICATE OF LIABILITY INSURANCE °"T08/17/12 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 I - 720-962-0930 Six & Geving-Insurance Inc #4 - - 720-962-0942 Denver Branch 225 Union Blvd. #575 Lakewood, CO80228 CONTACT NAME' Jessie Lee PHONE 303-653-0022 - FAX - 720-962-0942 _E- ALo. Es,); (A/C,_No): ADDRESS,jlee@six-geving.com PRODUCER A&MLA-1 ID k: _CUSTOMER INSURER(S) AFFORDING COVERAGE NAIC Y - INSURED A & M Landscape Concepts, Inc. INSURER A; Pinnacol Assurance 41190 Allen Winter 749 S. Lemay Avenue, PMB 221 INSURER B: Fort Collins, CO 80524 INSURERC: INSURER D : 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 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. XP INBR TYPE OF INSURANCE ADD UMR POLICY NUMBER MMIDDPOLICYIY NY MM)DDNYYY LIMITS TR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE MALETOREN PREMISES Ea occurrence $ $ MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FI PRO- n LOC PRODUCTS-COMPIOPAGG $ $ AUTOMOBILE LIABILITY - ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMSMADEAGGREGATE EACH OCCURRENCE $ El $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERJEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4115033 09/01/12 09/01/13 X J WC STATU- OTH- TORY LIMITS ER $ 500,000 E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE $ 500,00 E.L. DISEASE- POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: All Projects/All Locations CTYFT-1 City of Fort Collins Purchasing or Risk Mgmt 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 d1 a . @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD