HomeMy WebLinkAbout304369 CONTINENTAL HARDSCAPE SYSTEMS - INSURANCE CERTIFICATEClient#: 47993
CONHAI
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
D1/09I2/09/2IDO/YYYY)
015
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.0.Box 578
Greeley, CO 80632
970 356-0123
CONTACT
Katie MacCallon
PH,AJCONE g70-266-7157 AX 970.330.1867
Est:; AC, No:
E-MAIL
ADDRESS: kmaccallon@floodpeterson.com
INSURER(S) AFFORDING COVERAGE
NAIL p
INSURER A, Westfield Insurance
INSURED
Continental Hardscape Systems, LLC
PO Box 351635
INSURER B : Pinnacol Assurance
INSURER C
Westminster, CO 80035
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.
INSR
LTR
TYPE OF INSURANCE
ADOL
INSR
SUBR
VIVO
POLICY NUMBER
POLICY EFF
MWDD/YYYY
POLICY EXP
MM/DOIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIABILITY
CLAIMS -MADE I OCCUR
X PD Ded:500
CWPI817099
7/17/2014
07/17/2015
EACH OCCURRENCE
$1 000000
pAEI��ESENTnce
$SOD DDD
MED EXP (Anyone person)
$5 000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMPIOP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
Drive Oth Car
CWPI817099
7/17/2014
07/17/2015
EaaelNeD15INGLELIMIT
$1,000,000
X
X
BODILY INJURY (Per person)
$
BODILY INJURY IPer accitlent)
$
PROPERTY DAMAGE
Par actldent
$
X
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CWP1817099
7/17/2014
07117/2015
EACH OCCURRENCE
s3,000.000
AGGREGATE
$3 OOO 000-
ION $0
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE Y / N
OFFICEF/MEMBER EXCLUDED? �
(Mandatory in NH)
If yes, descnbe under
DESCRIPTION OF OPERATIONS below
N/A
4179574
1/0612014
01I01/2016
X WC STATU- OTH-
OR
E.L. EACH ACCIDENT
$1 OO,000
E. L. DISEASE -EA EMPLOYEE
$100000
E.L. DISEASE -POLICY LIMIT
s500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General
Liability, for ongoing operations only. Insurance is primary and noncontributory.
City of Fort Collins
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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010105) 1 of 1
#S964914/M964622
01(_ Ptodv 0 egA4�
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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