HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS & FOSSIL - INSURANCE CERTIFICATEClients: 1R133
ALPDA
ACORDTe CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD VVYV)
05/31/2013
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 endorsement(s).
PRODUCER
CONTACT NAME: Kelly BeaUVA15
Flood &Peterson Ins., Inc.
PHONE g70-266-7121 FAX 970-506-6836
A/C Na Ext : A/C, No
EMAIL ADDRESS: KBeauvaisWFloodPeterson.com
P. O. Box 578
Greeley, CO 80632
PRODUCER
CUSTOMER ID C
INSURER(5) AFFORDING COVERAGE
NAIC #
970 356-0123
INSURED
INSURER A: Allied Insurance
Naturescape, Inc.; dba: Alpine Gardens,
INSURER B: St. Paul Travelers Insurance Co
& Fossil Creek Nursery
INSURER CPinnacol Assurance
7029 S. College Avenue
Lloyds of London
INSURER 0: Y
Fort Collins, CO 80525
Zurich
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 CONTRACTOR 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
TYPE OF INSURANCE
DDL
3UBR
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MWDD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51CCCUR
ACP750612506
6/01/2013
06/01/2014
EACH OCCURRENCE
$1,000,000
DAMAGE TO RET1
SES Eaoocm snce
$100,000
MED EXP(Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY X PHI LOC
PRODUCTS - COMP/OP AGG
$2,000,000
IS
E
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONOWNEDAUTOS
PRA399297808
0610112013
06/01/2014
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accitlent)
$
PROPERTY DAMAGE
(Peracodent)
$
X
X
$
$
B
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CI -AIMS -MADE
ZUP14R690381
6/01/2013
06/01/2014
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
DEDUCTIBLE
RETENTION S 10,000
S
X
IS
C
WORKERS COMPENSATION
ANDEMPLOVERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVEâť‘
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
4033906
10/01/2012
10/01/2013
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
EL OISEASE-POLIGV LIMIT
$1,000,000
D
Professional
AB1200226
1610112011
06/0112014
$1,000,000
Ded: $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured.
City of Fort Collins Purchasing
Attn: Jahn Stephen
PO Box 580
Fort Collins, CO 80522
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
ACORD 25 (2009109)
#S790417/M790408
01988-2009 ACORD CORPORATION. All rights reserved.
1 oft The ACORD name and logo are registered marks of ACORD
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