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Home My WebLink About126682 A & M LANDSCAPE INC - INSURANCE CERTIFICATE (9)A&MLA-1 OP ID: JL '4`� o CERTIFICATE OF LIABILITY INSURANCE DA0910220TE 14 os/oz/zala 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(les) 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: 720-962-0930 Six & Geving Insurance Inc #4 Denver Branch Fax: 720-962-0942 225 Union Blvd. #575 Lakewood, CO 80228 Nancy Kersey CONTACT Jessie Lee PHONE FAx (ac. No Eat , 303-653-0022 ac, Ne : 720-962-0942 EMAIL six- ADDRESS: Ilee @ 9evin g•com INSURER(S) AFFORDING COVERAGE NAIC0 INSURERA: Pinnacol Assurance 41190 INSURED A & M Landscape Concepts, Inc. Allen Winter 749 S. Lemay Ave. PMB 221 Fort Collins, CO 80524 INSURER B: 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. INSR 0,0017 WOR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE MEN WVn POLICY NUMBER MM/DD MMDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMA COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS -MADE E OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S POLICY PEPO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Peracddent $ f UMBRELLA LUIB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? FYI (Mandatory In NH) N/A 4115033 09/01/2014 09/01/2015 X WCSTATIJ OTH- T RV LIMITS E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requlmd) RE: All Projects/All Locations CTYFT-1 City of Fort Collins Purchasing or Risk Mgmt P.O. 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. AUUTTHOO,R(IZEEDD �REEPPRRE�SENTATIVE `'T'011a^'�i- 0 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A&MLA-1 OP ID: JL '4`�' CERTIFICATE OF LIABILITY INSURANCE DA09/022014TE Y) osro2r2o1a 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(les) 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 endorsemenl(s). PRODUCER Phone: 720-962-0930 Six & Geving Insurance Inc #4 Denver Branch Fax: 720-962-0942 CONTACT Jessie Lee PHONE FAX A/L No E,�:303-053-0022 A/L N,: 720-962-0942 225 Union Blvd. #575 Lakewood, CO 80228 p one ss: lice@SIX-geVing.COm INSURER(S) AFFORDING COVERAGE NAICY Nancy Kersey INSURER A: Plnnacol Assurance 41190 INSURED A & M Landscape Concepts, Inc. Allen Winter INSURER B: 749 S. Lemay Ave. PMB 221 INSURER C: INSURER D: Fort Collins, CO 80524 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 INSURANCE DDL UBR POLICY NUMBER V EFF MMIDD/YYYY IDD/YYW MMY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMSEESba occurrence $ CLAIMS -MADE 0OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY 0 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANV AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pereceident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LMB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVEY� OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A 4115033 09101I2014 09/01I2075 X WC STATU- OTH- LIMITS R E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 II yes, describe .near DE SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Spring Canyon Playground Overflow Parking aa:L•J�aact City of Fort Collins Purchasing PO Box 580 215 North Mason Fort Collins, CO 80524 CTYFT-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUUTTHOORIZ�ED �REEPPRRE�SENTATIVE `-- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD All riahts reserved. A&MLA-1 OP ID: JL ,d►tcoRo CERTIFICATE OF LIABILITY INSURANCE DATE o9/02/2014ozfzola r 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: 720-962-0930 Six & Geving Insurance Inc #4 Denver Branch Fax: 720-962-0942 225 Union Blvd. #575 Lakewood, CO 80228 Nancy Kersey CONTACT Jessie Lee NAME:PHON FA% ac Na Ea:303-653-0022 ac N720-962-0942 EMAIL lee Six evin ADDRESS:) -9 g•COm INSURER(S) AFFORDING COVERAGE NAIL C INSURER A: Pinnacol Assurance 41190 INSURED A & M Landscape Concepts, Inc. Allen Winter 749 S. Lemay Ave. PMB 221 Fort Collins, CO 80524 INSURER B: 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. INSR LTR TYPE OF INSURANCE D L e POLICY NUMBER MMI DYEFF IYYYY MMI�� LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ M t PREMISES Ea ocarrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- MLOC 1-1 POLICY F I JEC PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accidenU $ PROPERTY DAMAGE Per accitlenl $ $ UMBRELLA LUIB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE Y f N OFFICE EMBER EXCLUDED? a (Mandatory In NM) If Yea. desedbs ender DESCRIPTION OF OPERATIONS below NIA 4115033 09/0112014 0910112015 X WC STATU- OTH- IMIT E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required) RE: Weed Mowing fi Abatement CTYFT-0 City of Fort Collins Purchasing & Risk Management 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. AUUTTHOO,RIZ�ED 1REEPPRREESENTATIVE "T'°Cl°r"�1"— 01988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD