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304369 CONTINENTAL HARDSCAPE SYSTEMS LLC - INSURANCE CERTIFICATE
Ac�p�® A CERTIFICATE OF LIABILITY INSURANCE DATE M/Y) 12/s1/20182o1e 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 Javier Perez NAME. Flood and Peterson PHONE (g70) 356-0123 FAR (970) 330-1867 /C No Ext : AIC, No IA'., PO Box 578 E-MAIL JPerez@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Westfield Insurance Company 24112 Greeley CO 80632 INSURED INSURER B : Plnnacol Assurance 41190 INSURER C : Continental Hardscape Systems, LLC INSURER D : 2200 E. 104th Avenue INSURER E Suite 201 INSURER F : Thornton CO 80233 COVERAGES CERTIFICATE NUMBER: CL18122126767 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DDYII^/YY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � DAMAGE TO RENTED 500,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY s 1,000,000 A CWP1817099 07/17/2018 07/17/2019 GEN'LAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE $ 21000,000 J ECT POLICY [g PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED CWP1817099 07/17/2018 07/17/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS 1XX PROPERTYDAMAGE Per accident $ HIRED NON -OWNED X AUTOS ONLY AUTOS ONLY Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLIIAB CLAIMS -MADE CWP1817099 07/17/2018 07/17/2019 AGGREGATE 5,000,000 $ X DED RETENTION $ 0 $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY Y / N STATUTE EERH E.L EACHACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 4179574 01/01/2019 01l01/2020 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH)and E.L. DISEASE -EA EMPLOYEE $ D yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 Limit $ 50,000 Leased/Rented Equipment A CWP1817099 07/17l2018 07/17l2019 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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 non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0000 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD