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Home My WebLink About128847 CRYSTAL LANDSCAPE SUPPLIES INC - INSURANCE CERTIFICATE (3)UP ID: SF ACORO' CERTIFICATE OF LIABILITY INSURANCE DAT11130OIYYYY) 11/30/12 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 endorsements . PRODUCER Phone: 970-635-9400 PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Fax: 970-635-9401 Johnstown, CO 80534 Keith Benner CONTACT PHONE FAX A/C No Eat Nc No: E-MAIL ADDRESS: PRODUCER CRYST-6 CUSTOMER ID N: INSURER(S) AFFORDING COVERAGE NAIC9 ,��rxA� V INSURED Crystal Landscape Supplies Inc 6616 N. Garfield Ave. Loveland, CO 80538-1115 INSURER A: Pinnacol Assurance 141190 INSURER B: EMC Insurance Companies INSURER C INSURER D • N n V _ 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.. IC INS TYPE OF INSURANCE ADOL SiIBRI POLICY NUMBER MM/DDY/YVVV MMIOOY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR !XBlkt 4X64663 12/D1/12 I 17J01113 DAMA T RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,000 Al by Agree GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 sr X POLICY � PRO LOC I $ B AUTOMOBILE LIABILITY ANY AUTO 4X64663 12/01/12 12/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) $ X X Comp Ded $ 1,00 NON-OWNEDAUTOS Coll Ded Is 1,00 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE Is EXCESS LIAB CLAIMS -MADE. N/AI DEDUCTIBLE I $ Is RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER YI❑N '!N/A EXCLUDE09 (Mandatory in NH) 4041312 06/01/12 06I01113 WC STATU- OTH- X T RY LI IT EL EACH ACCIDENT $ 100,DDD E. L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 500,000 B Inland Marine 4X84863 12/01/12 12/01/13 Equipment 640,66 I IDed 1,000 DESCRIPTION OF OPERATIONS / 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 Fort Collins is included as Additional Insured for ongoing operations under General Liability. CITYOFC City of Fort Collins 215 North Mason Street 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 9)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD