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HomeMy WebLinkAbout196580 L & L LANDSCAPE (LRD INC) - INSURANCE CERTIFICATE (6)11/01/2012 TH 15:28 FAX 970 674 8826 Renaissance Ins, Group 2 001/001 OP ID: MM '`# a CERTIFICATE OF LIABILITY INSURANCE aT11101 orcrrY) 11101/12 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 pellcy(ies) must be endorsed. If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an endomement. A statement on this certificate does not confer rights to the certificate holder in lied of Such endomement(s). =UCER Phone: maissdnce Insurance Group Fax: O Box 478 11 E Main Street 'indsor, CO 60550 INSURED DBA L & L Landscape PO Box 62 Windsor, CO $0550-0062 W SURERIS) AFFORDMG COVERAGE A -Allied Insurance Company a: Pinnacol Assurance rnVFRA11FA rFrdTIFIr ATF NI IMRFR• vevlainM an IkAGFG. 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 APFORDED BY THE POLICIES DESOmREO HEREIN IS SU&IECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ILTR TYPE OF INSVRRNCE �aoaaD POLICY NUMBER MNIODNVYY POw0urYYY LIMITS A GENERALMBIUTY X CONAIERCUIL GENERAL LIABILITY CLAIMS -MADE n OCCUR ACPMTC07515036564 04/20192 04I20113 EACH OCCURRENCE 3 11000,00 $ 100,00 PREMISES(Ea IXCnRanae) WDEXP(Awwomwn) $ 10,00 PERSONAL4ADVINJURY Is _ 1r000A0 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE UMITAPPLIE$ PER: PRODUCTS-COMP/OPAGG $ 2.000.00 POLICY F7 PRa LOC _ S A AUTOMOBILE LIABRfry X , ANYAUrO I COMBINED SINGLE LIMIT (Ea aadem) S 500.00 BODILY INJURY(Per pereenJ $ ALL OWNEDAUTOS SCHEDULEOAUT06 X XIRED AUTOS CP8A7515036564 04120/72 04/20/13 BODILY INJURY (Peramdent) $ - $ PROPERTrOAMAGE (Pa arzidad) X NON-OMEDAUTOS - - S UMBRELLA Me OCCUR EACH OCCURRENCE E _ IXDES9 MB CLAIMSi E N/A DEDUCTIBLE .. S _ S RETENTION S NSA AND OTH- X- C EMPLOYERS YIN ANYPROPRIETORRMTNEIUE(ECDDVE OFDCERMEMSER EXCLUDED? (Mantlamry in NH) IfW5 describe under DESCRIPTON OF OPERATIONS Oeknv NIA 4032168 08/01112 I 09101/13 TO. 2Y1Rd 1 EL EACH ACCIDENT § _ 1,000,00 $ 1,000.00 $ 1,000,00 E.L DISEASE • EA EMPLOYEE E. L. DISEASE,-POLICYLIMn A Laasod/Rentad CPCIM7615016564 G5125f12 04/20/13 Special 65,00 Equipment Perils $500 de DESCRIPTION OF OPERANONS/ LOCATIONS/ VEHICLES (Attach ACORP 101, A,JcUlo Ml Ramarks SchedWq If mmM apace le rac d a ) Fax: 221-6707 r FRTIFIr ATF mn1 nFR PAMrFI I ATlnkt CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATNE Fort Collins, CO 80522 I Lap �'�`^""'Y^L ` ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD