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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