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Home My WebLink About107133 BATH INC - INSURANCE CERTIFICATE (4)10/25/2013 12:50 PM FROM: Flood and Peterson TO: 9702216707 P. 1 ........................ rr rr rr r rr rrr Flood r r r r 'r r r rrr rrr r r rand r r r r r r r r rr 'r rr r r r r r r r r r r r rrr rrr FAX TRANSMITTAL SHEET ATTN: FROM: City of Fort Collins FPCOMUSER COMPANY: DATE: 10/25/2013 12:48:24 PM FAX NUMBER: SENDER FAX NUMBER: 9702216707 (970) 330-1867 # OF PAGES INC. COVER: SENDER PHONE NUMBER: 3 (970)356-0123 NOTES/COMMENTS Please see attached documents The contents of this message sent from Flood and Peterson is confidential, possibly privileged, and intended only for its addressee. If you have received this message in error, you must not disclose, copy, circulate, or in any other way use or rely on the information contained in this message. If you have received this message in error, please contact Flood and Peterson by phone at 970-356-0123. 10/25/2013 12:50 PM FROM: Flood and Peterson rii.m.e• g1naa TO: 9702216707 RATIM P. 2 ACORD.. CERTIFICATE OF LIABILITY INSURANCE m10/25/FIE D013 10/25/2013 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 Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 V Jennifer Winter E�t; 970 506-3206 A/C No ; 970 506-6846 ADDRESS: JWinter@floodpeterson.com INSUREW,S)AR�RDINGCOVERAGE NAICp INSURERA: Bituminous Insurance 20095 INSURED Both, Inc. 2000 E. Prospect Road Fort Collins, CO 80525 INSURER B: St. Paul Fire & Marine Ins. Co. 24767 INSURER C:Pinnacol Assurance 41190 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 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. TYPECFINSURANCE ADDL INSR SNND POLICY NUMBER(ila%LIMTS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE F7X OCCUR X PDDed:500 CLP3595079 11/01/2013 11/01/2014 EACH OCCURRENCE $1 000 000 RAMMEacaarce $100000 MED EXP (Any me perom) $10 000 PERSONAL &ADVIWURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREG4TEUMITAPPUESPER: POLICY X JE� LOC PRODUCTS-COMP/OP ADD $2,000,000 $ A AUTCMOBILE LIABILITY ANYAUTO ALALLCED SSCHEEDDULED HIREDATTDS X AUAUTOS TFGMVED$ AUTOS OIh Car CAP3595080 11/01/2013 11/01/2014 �arrBINEDSINGLE LIMIT 1,000,000 BODILY INJURY(Per perms) $ BODILY INJURY(Per acadend) $ IxDrive Per acdderrt $ A B X UMBRELLA EXCESS UAB X OCCUR CLAIMSMADE CUP2803536 ZUP13T9187713NF 11/01/2013 11/01/2013 11/01/201 11/01/2014 EACH OCCURRENCE $1 000 000 X AGGREGATE $1 OOO 000 DED X RETENTON$10000 Ea Occur $4000000 C C� VANKERSIS`TICN AND EMPLOYERS LIABILITY ANY PRDPRIETOP/PARTNEP/EXECUUVEY/N OFFICEP/MEMEER EXCLUDED? N] (Mandatory in NH) If yyees� de aihe under DESY;RIPUON OFOPERATIONIS helm N/A 4015110 11/01/201311/01/201 X rom ILM�rs EQa E.L EACH ACCIDENT $1000000 E.L DISEASE - EA Ev1PLOYEE $1000000 E.L DISEASE -POLICY OMIT $1,000,000 DESCRIPnCN CF OPERATIONS/ LOCATIONS / VEH18aS (Attach ACORD 101, Additional Ramrks SchedJe, if more space is regdred) RE: Discovery Mueseum Landscaping City of Fort Collins, its officers, agents and employees, are listed as Additional Insureds as their interest may appear as respects General Liability, including completed operations. Insurance is primary and non-contributory. Cityof Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S837511/M837496 JZS 10/25/2013 12:50 PM FROM: Flood and Peterson TO: 9702216707 P. 3 This page has been left blank intentionally.