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HomeMy WebLinkAbout279796 COCAL LANDSCAPE - INSURANCE CERTIFICATE (5)��'� ® 7112/28/2018 (MM/DD/YYYY) � CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME_Sabrina Rahe CRS Insurance Brokerage PHONE FAX-.`-___ 6600 E Hampden Ave 303-996-7834 Arc No:303-9967851 Denver CO 80224 ADM AIL srahe(gcrsdenver.com INSURER A: Westfield Insurance 24112 INSURED COCALAN-02 INSURER B:_PlnnacolAssurance !— 41190 CoCal Landscape Services, Inc - CoCal Landscape Construction Co. ):NsuRERc�— 333 E 76th Ave INSURER D : Denver CO 80229 INSURER E INSURER F : COVERAGES CFRTIFICATF NIIMRFR• 1029Snr1mq RFVICION NIIMRFR- 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. __....___..TAI5tiU5Ueti"-POLICY POLICY EXP .. ,...._....___.. ..._. .. -_.--_.. _..... _ _ __. _— __�.__...... ILTR TYPEOFINSURANCE ; POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY �.._,_' Y CMM014964C -i V1/2019 1/1/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS- -MADE X 'OCCUR Oti ta`ENi Eb__._� PR MI$ES.jEa oc�ursence)___y5 $ _$ 5 X PD Ded $5,000 MED EXP iAny one person) $ 5,000 PERSONAL & ADV INJURY $1,000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ,PRO - POLICY X P'O_ LOC ... . ------__.. PRODUCTS - COMP/OP AGG $ 2,000,000 ._. $ ._.�..�.._---------- OTHER: I A AUTOMOBILE LIABILITY Y CMM014954C 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT ( $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED � SCHEDULED AUTOS ONLY AUTOS j BODILY INJURY (Per accident) $ HIRED X AUTOS ONLY AUOTOS ONLDY reta cd@n�AMAGE I v V I $ A X X uMeRELLauae' OCCUR CMM014964C t/1/2018 I 1h/2020 �EACHOCCURRENCE _ $5,000,000 EXCESS UAB CLAIMS -MADE I ! AGGREGATE $ 5,000,000 DED X - RETENTION.$ i l $ p WORKERS COMPENSATION 4136357 1/1/2019 1/1/2020 X PER OTH- 4LTAT AND EMPLOYERS' LIABILITY Y r N i __..,. __i.ER „µ _ __. _ _ ANYPROPRIETOR'PARTNER/EXECUTIVE i I E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED9 N / A `" —� (Mandatory In NH) E.L. DISEASE EA EMPLOYEE $1,000,000 It yes. describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE • POLICY LIMIT $ 1,000,000 ( i I I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 'Herbicide/Pesticide Liability included City of Fort Collins, its officers, agents and employees are included as additional insured for ongoing and completed operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. General Liability policy has been endorsed to provide 30 days notice of cancellation except 10-day notice for non-payment of premium. All policy terms, conditions and exclusions apply. CEK I II`ICA f E HOLDER CANCELLATION City of Fort Collins 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. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 5907