HomeMy WebLinkAboutJOHN STRACHAN DBA CUSTOM MOWING - INSURANCE CERTIFICATEACORgN CERTIFICATE OF LIABILITY INSURANCE
5/06/D20Y 03
S/06/13
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 ISSUINGINSURER(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 endorsemenl(s).
PRODUCER
Ewing -Leavitt Insurance Agency
4025 St. Cloud Dr.
Suite 100
Loveland, CO 80538
CONTACT
NAME:
AICNNOEXt:970.679.7333 FncNe:866.456.4265
EWAIL
ADDRESS:
PRODUCER 00006811
CUSTOMERID#'
INSURER(3) AFFORDING COVERAGE
NAIC#
INSURED AA %%I/����ur�.�n
TTntlnental
John L Strachan ,Li;r\ Aikm C0-.ylhA
640 Heather Court J
F rYColl Tn$i, CO 80525_
INSURER A: CO Western
10804
INSURERS: Colorado Casualty
141785
INSURER C:
INSURERD
INSURER E
CERTIFICATE NUMBER:
THIS IS TO CERTIFY THATTHE 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
LTR
TYPE OF INSURANCE
ADDLSUBR
IT
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
GENERAL LIABILITY
CWP2311819-3
0610112013
06/0112014
EACH OCCURRENCE
$ 1,000,00
X COMMERCIAL GENERAL LIABILITY
PREMISES Ea omu ence
$ 100,000
MED EXP (Any one person)
$ 5,00
CLAIMS -MADE OCCUR
PERSONAL SADVINJURY
$ 1,000,00
A
:'-
GENERAL. AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
$ 2,000,00
$
POLICY PRO- LOC
AUTOMOBILE
LIABILITY
24CC280190-
06110/2013
06/10/2014
COMBINED SINGLE LIMIT
(Ea accdenp
$
500,00
ANY AUTO
BODILY INJURY (Per Person)
$
ALL OWNED AUTOS
BODILY INJURY (Per aeutlenl)
$ .
B
SCIiEOUL-D AUTOC
HIREDAUTOS
X
PROPERTY DAMAGE
(Per acatled)
S
NON -OWNED AUTOS
$
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
'To MADE
DEDUCTIBLE i
"" -' -"
$
-
$
RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
WC STATU- OTH-
TOR Y LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
Il yes, des too uMer
DESCRIPTION OF OPERATIONShel.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtbcM1 ACORD i0i, Add ltimml Remarks Schedule! it more space Is reculmd)
ity of Fort Collins, its officers, _agents and employees are named as additional insureds as respects
_. - _ ._. .. .. _
eneral and Auto Liability. -
CERTIFICATE HOLDER
CANCELLATION
FAX: 970.221.6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Purchasing Division
AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins, CO 80522
Donnall zcQualle
CJ 1DBe-ZUUS AUUKU UUKr'UKA I IUfN. AN ngnm reser iea.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD