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HomeMy WebLinkAbout279796 COCAL LANDSCAPE SERVICES INC - INSURANCE CERTIFICATE (3)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YYYY) 12/31/2012 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 NAME: P"ONEEarl _ 7_ FAINCX. NP:303-831-5295 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 EMAIL ADDRESS: ntr t r v om INSURERS AFFORDING COVERAGE NAICM INSURER A: INSURED 1 INSURER B:W tfield Insurance Com an INSURER C: COCal Landscape Services, Inc. COCal Landscape Construction Co. 12570 E. 39th Ave. INSURER D: Denver CO 80239 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1928835199 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. INS LTR TYPE OF INSURANCE AOOLSUBR INSR MD POLICY NUMBE0. POLICY EFF I MMIDDA'YYY POUCYEXP MMIDDM'YY UNIMS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEIT] OCCUR CMM0104991 1/1/2013 /1/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea o.'ems) 'ems $500,000 MED EXP(My one person) $15,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY % PRO- LOC JECT PRODUCTS - COMP/OP AGG $2.000,000 Deductible $5.000 B AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS CMM0104991 1/1/2013 /1/2014 Ea accident 1.000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Pera¢ident) E X PROPERTY DAMAGE Per accident $ B X I UMBRELLALIAB SIAB X OCCUR CLAIMS -MADE CMM0104991 1/1/2013 /1/2014 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESEXCESSI RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS helm NIA 136357 1/1/2013 /1 /2014 X WCSTATU- ER RY E.L. EACH ACCIDENT $1,000,000 EL. DISEASE -EA EMPLOYE $1,000,000 E.L. DISEASE -POLICY LIMIT $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 SSO AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 © 1988-2010 ACORD CORPORATION. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD