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HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS - INSURANCE CERTIFICATE (3)Client#: 18133
ALPGA
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
OATE(M M/DD YYYY)
09/091201a
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
ACT
NAME: Kelly Beauvais
Flood & Peterson Ins., Inc.
PHONE g70 266-7121 FAX 970 506-6845
A/C No Exl : AIC, No
E-MAIL etemon.comi eauvas flood
ADDRESS: kb @ P
P. O. Box 578
INSURER(S) AFFORDING COVERAGE
NAIC#
Greeley, CO 80632
INSURER A: Allied Insurance
970356-0123IM
INSURED I
INSURER B: St. Paul Travelers Insurance Cc
Naturescape, Inc.; dba: Alpine Gardens,
INSURER C Pinnacol Assurance
& Fossil Creek Nursery
INSURER D: Lloyds of London
7029 S. College Avenue
Zurich
INSURER E
Fort Collins, CO 80525
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.
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
INSR
Ii
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �X OCCUR
ACP7506292456
6/01/2013
06/0112014
EACH OCCURRENCE
$1,000,000
PREMISES Ea Deed ence
$100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY x PRO-
RO LOG
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
$
E
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS X NON -OWNED
AUTOS
PRA399297809
6/0112013
06/01/2014
COMBINED SINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
JX
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
Per accitlani
$
B
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
ZUP14R6903813NF
6/01/2013
06/0112014
EACH OCCURRENCE
$1 000000
AGGREGATE
$1,000,000
DED X RETENTION$10000
$
C
WORKERS COMPENSATION
ANOEMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNEMEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes. aescrloe under
DESCRIPTION OF OPERATIONS below
NIA
4033906
10/0112013
10/011201
)( We srnru- ETH-
E.L. EACH ACCIDENT
E1000000
JE.L.DISEASE-EAEMPLOVEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$13000,000
D
Professional
Liability
AB1301453
6/01/2013
06/01/201
$1,000,00
Deductible $5,000
DESCRIPTION OF OPERATIONS I 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 perfor
City of Fort Collins Purchasing THE SHOULD EXPIRATION DATE ABOVE DESCRIBED
NOTICEES WIBLL CBE CELLED DELIVERED O IN
Attn: John Stephen ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S825232/M825223 KLB
Client#: 18133
ALPGA
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
F
09109/2013
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
ONTACT Kelly Beauvais
I NAME
Flood & Peterson Ins., Inc.
PHONE 970 266-7121 FAX 970 506.6845
AIO No Elul); A/O No:
P. O. Box 578
E-MAIL ADDRESS: kbeauvais@floodpeterson.com
Greeley, CO 80632
INSURER(S)AFFORDING COVERAGE
NAIC4
970 356-0123
INSURER A: Allied Insurance
INSURED
INSURER B: St. Paul Travelers Insurance Co
Naturescape,Inc.;dba: Alpine Gardens,
& Fossil Creek Nursery
INSURER c:PinnacolAssurance
INSURER D: Lloyds
Y of London
7029 S. College Avenue
ZUfICh
Fort Collins, CO 80525
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.
INSR
LTR
TYPE OF
ADDLSUBRI
INSR
MD
POLICY NUMBER
POLICY EFF
MMIDO/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
GENERALUABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MACE 4 OCCUR
ACP7506292456
6/0112013
06/01/2014
EACHOCCURRENCE$1000000
PREMISES Ea.N`EDnce
$100000
MED EXP (Anyone person)
$ 5 000
PERSONAL B ACV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LI MIT APPLIES PER:
POLICY X PRO- LOC
JEOT
PRODUCTS - COMP/OP AGG
$2,000,000
$
E
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON OWNED
AUTOS
PRA399297809
6/01/2013
O6/01/201
COMBINED SINGLE LIMIT
(Ed accident)
$1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
PePROPcddencERTY DAMAGE
ra
$
$
B
x
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ZUP14R6903813NF
6/01/2013
06/01/2014
EACH OCCURRENCE
$1000000
AGGREGATE
$1 000 000
DED I X I RETENTION $10000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
4033906
10/01/2013
10/01/2014
X I WC STATU- OTH-
LIMIT
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$1,000000
E.L. DISEASE -POLICY LIMIT
$1,000,000
D
Professional
Liability
AB1301453
6/0112013
06/0112014
$1,000,00
Deductible $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
***PURCHASING DEPT'**
Certificate holder is listed as additional insured.
City of Ft. Collins
ATTN: Purchasing Department
281 N. College Avenue
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
ACORD 25 (2010105) 1 of 1
#S825233/M825223
@ 1988.2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KLB