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HomeMy WebLinkAbout128847 CRYSTAL LANDSCAPE SUPPLIES INC - INSURANCE CERTIFICATE (4)UF' ID: JF ,a►coRO CERTIFICATE OF LIABILITY INSURANCE OS/09I2013 0510912013 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 Phone: 970-635-9400 PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Fax: 970-635-9401 Johnstown, CO 80534 Keith Benner p �f. CONTACT PHONE FAX WC No Ex): (A/� Noj: E-DRESS:MAIL ADPRODUCER CUSTOMER ID #: CRYST-6 INSURER(S) AFFORDING COVERAGE NAIL# INSURED Crystal andscapeSupplies Inc 6616 N. Garfield Ave. Loveland, CO 80538-1115 INSURER A:Pinnacol Assurance 41190 INSURER B:EMC Insurance Companies 21415 INSURER C INSURER D : 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 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. ILTR TYPE OF INSURANCE ADOLISUBRI POLICY NUMBER MMLDDYM/YYEFFMMLicYEXP DD/1'1'YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 4X84863 12/01/2012 12/01/2013 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL SADV INJURY I $ 1,000,00 X Blkt Al by Agree GENERAL AGGREGATE Is 2,000,00 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO ($ 2,000,00 ��G�EENI I X 1 POLICY FI PRO n LOC $ B AUTOMOBILE X LIABILITY ANY AUTO 4X64863 12/01/2012 12/01/2013 COMBINED SINGLE LIMIT (Ea accitlenp $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (PeraccidenU $ X X NON -OWNED AUTOS Comp Ded $ 1,00 Coll Ded Is 1,00 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 B EXCESS LIAR CLAIMS -MADE 1 4X84863 12/01/2012 12/01/2013 DEDUCTIBLE $ X 1 $ RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4041312 06/01/2013 06/01/2014 WC STATU- �r �OTH- X TORY_LIMITS ^ ER $ 1,000,000 E.L. EACH ACCIDENT EL.DISEASE-EAEMPLOYEE $ 1,000,00 If yes, describe unc DESCRIPTION OF OPERATIONS ealaw E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 B (Inland Marine 12101120121 12/01/2013 640,664 (4X84863 IEDeudipment 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability. CITYOFC City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 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 A 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD