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129339 NAUTRESCAPE INC DBA ALPINE GARDENS & FOSSIL - INSURANCE CERTIFICATE
ACORO® CERTIFICATE OF LIABILITY INSURANCE GATE (MMlDDIVVYY) 09/11/2019 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 endorsement(s). PRODUCER CONTACT NAME: Kylie Carey, CISR, CIC Flood and Peterson AHCNNo, Ext : (970) 266-7148 FAX No): (970) 506-6845 E-MAIL AODRESs: KCarey@floodpetersortcom PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC s INSURERA: Union Insurance Company 25844 Greeley CO 80632 INSURED INSURER B: Continental Western Insurance Company 10804 INSURER C: Pinnacol Assurance 41190 Naturescape, Inc., DBA: Alpine Gardens INSURER D: Berkley Assurance Company 39462 & Fossil Creek Nursery INSURER E : 7029 S. College Avenue INSURER F: Fort Collins CO 80525 COVERAGES CERTIFICATE NUMBER: FICrtPRF/POLxl2/ 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 MAYBE 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. ILTR TYPE OF INSURANCE INSD WVO POUCY NUMBER MWDD E MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL& AOV INJURY $ 1,000,000 A CPA3156127 12/0112018 12/01/2019 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ® JECOT ❑ LGC PROWCTS-COMP/OPAGG $ 2,000,000 Employee Benefits $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Par person) $ ANY AUTO B OWNED SCHEDULED AUTO, ONLY AUTOS CAA3156126 12/01/2018 12/01/2019 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accitlant $ HIRED Ni AUTOS ONLY X AUTOS ONLY Medical payments $ 5,000 X UMBRELLA LIAB x OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE CPA3156127 12/01/2018 12/01/2019 AGGREGATE $ 5,000,000 DEC) I X1 RETENTION S 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 4033906 10/01/2019 10/01/2020 X1 STATUTE I ERH E.L. EACH ACCIDENT $ 1,000,OOD E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If Yeti, deticnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 1,000,000 D Professional/Pollution Liability PCXDB50037951217 12/01/2017 12/01/2019 $2,000,000 Shared Limit $5,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins Purchasing;Attn: John Stephen PO Box 580 Fort Collins CO 80522-0000 Pl9CPf yal �LaaL9C. 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 (2016103) The ACORD name and logo are registered marks of ACORD