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HomeMy WebLinkAbout501238 GREENING UP LANDSCAPE MAINTENANCE INC - INSURANCE CERTIFICATE�—OqN GREEN-U OP ID" AcoRo CERTIFICATE OF LIABILITY INSURANCE FDATE (MM/DD/YYYY) 05130/2019 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 endorsements . PRODUCER 970-482-7747 CONTA NAME:CT Allison Heeren Brown & Brown Inc PHONE 970-482-7747 FAX 970-484-4165 4532 Boardwalk Dr, Suite 200 (A/C, No, Ext): (A/C, No): Fort Collins, CO 80525 E-MAIL certificates@bbcolorado.com ADDRESS: Tyler McCallister INSURERS AFFORDING COVERAGE NAIC # Inc,,r!2nro rmmnanv 124112 INSURED Greening Up Landscape INSURER B Maintenance, Inc. 1942 E Lincoln Ave, Unit B INSURERC: Fort Collins, CO 80524 INsuRERD: CCIVFRAnER CERTIFICATE Nt1MBFR- 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X IOCCUR y y CWP6068374 06/01/2019 06/01/2020 DAMAGE TO RENTED PREMISESor $ 800,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY FX7 JEef F7 LOC OTHER A AUTOMOBILE LIABILITY COMBINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO y y CWP6058374 06/01/2019 06/01/2020 BODILY INJURY Per accident BODILY $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per PROPERTY $ AUTOS ONLY AUTOS ONLY A UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE CWP6058374 06/01/2019 06/01/2020 DIED X I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE Y PER OTH- A E.L. EACH ACCIDENT $ - -- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE -" $ E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equi CWP6058374 06/01/2019 06/01/2020 Lsd/Rntd 25,000 Ded 500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured as respects to General Liabliity and Automobile Liability per conditions and forms shown on page 2. Fax#970-221-6707 CITYF11 City of Fort Collins P O Box 5080 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 Tyler McCallister ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GREEN-U NOTEPAD INSURED'SNAME Greening Up Landscape OP ID: AH If Required By Written Contract: Commercial General Liability: Blanket additional insured applies for ongoing and completed operations CG2033 6 CG7133 Primary, non-contributory basis CG 2001 Blanket waiver of subrogation CG7094 Commercial Auto Liability: Blanket Additional Insured and waiver of subrogation CA7068. Umbrella follows forms over general liability, auto and employers liability PAGE 2 Date 05/30/2019