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HomeMy WebLinkAbout128847 CRYSTAL LANDSCAPE SUPPLIES INC - INSURANCE CERTIFICATE (5)�1 uP IU: sr ,d►` ouzo CERTIFICATE OF LIABILITY INSURANCE O 111151201 YY) 11/15/2013 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 PRODUCER �MNIR�I PFS Insurance Group - JT PHONE 4848 Thompson Pkwy, Ste 200 WC No. EMI, Johnstown, CO 80534 ADDRESS: EMAIL Keith Benner PRODUCER ��.....� - INSURED Crystal Landscape Supplies Inc INSURER A:PInnacolAssurance 41190 6616 N. Garfield Ave. INSUREKa:EMC Insurance Companies 21415 Loveland, CO 80538-1115 INSU"A 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. WTR TYPE OF INSURANCE POLICY NUMBER MWDD/YLICY YYY MMIDD� LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR XJ Blkt A] by Agree 4X84863 12/01/2013 12/0112014 EACH OCCURRENCE S 1,000,00 PREMISES Eaomurrence S 100,00 MED EXP (Any orw pares)) 8 5,00 PERSONAL SADVINJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LMIT APPLIES PER X POLICY PROIrP.- 71 LOG PRODUCTS -COMWOP AGG S 2,000,000 S B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 4X84869 12/01/2013 12I01/2014 COMBINED SINGLE LIMIT (Ea arcide M) S 1,000, 000 X BODILY INJURY (Par person) S BODILY INJURY (Per scddel S PROPERTY DAMAGE (PER ACCIDENT) $ X X Comp Ded $ 1,00 Coo Dad $ 1,00 B X UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE 4X84863 12101PA13 12(01J2014 EACH OCCURRENCE $ 1,000,00 AGGREGATE S 1,000,00 DEDUCTIBLE I RETENTION 3 10,000 S X A WORKERS COMPENSATION AND EMPLOYERS' LWBILITY ANY PROPRIETORMARTNERIEXECUTNE YIN OFFICERNEMSER EXCLUDED9 (Mandatory In NH) lee, deacrioe under DESCRIPTION OF OPERATIONS below NIA 1312 0WIM13 08/01/2014 X I WC STATU- X I OTH- E.L. EACH ACCIDENT 3 1,000,0 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,88 B Inland Marine 4X84863 12/01/2013 12/01/2014 Leased/Re 25,00 Dad 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ASech ACORD 101, Addltlonal Remarks Schedule, If more apace 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD