HomeMy WebLinkAbout119908 EVERGREEN LANDSCAPE & SPRINKLER CO - INSURANCE CERTIFICATEA` OROa CERTIFICATE OF LIABILITY INSURANCE DATE IMM DD NYVY)
10/112019
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: It 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
CRS Insurance Brokerage
6600 E Hampden Ave
Denver CO 80224
INSURED
Evergreen Landscape & Sprinkler Co.
P.O. Box 2146
Fort Collins CO 80522
Caytlyn Green
of America
COVERAGES CERTIFICATE NUMBER: 1266800019 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 - _ .ADOL SUER --. POLICY EFF
LTR TYPE OF INSURANCE INSO WVD POUCYNUMBER ONYVv MMIDD71'YYY LINTS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
, S230593100 li 10/1/2019
10/1/2020 EACH OCCURRENCE
-5AMWW TOENTED
_PREM E oactirrencel
MED EXP (Any one person)
PERSONAL s ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OPAGG
$1,000.000
$100,000
$ 5.000
_
$1,000.000
GE_N'L AGGREGATE LIMIT APPLIES PER:
l POLICY �l PRO- JEOT LOC
OTHER:
$2,000.000
$2,000,000
$
A
AUTOMOBILE LU161LnT
X ANY AUTO
OWNED SCD
AUTOS ONLY AUTOSHEULED
HIRED NON-0WNED
AUTOS ONLY AUTOSONLY
(
S 230593100 10/1/2019
10/1l2020uu
SINGLE LIMIT
$1.000.000
BODILY INJURY (Per person)
--
$
BODILY INJURY (Per aoddeM)
$
OPERTYDAMAGE
r adCent
$
$
A
X UMBRELLAUAB I X OCCUR
EXCESS LIAR CLAIMS -MADE
DEC I RETENTIONS
S230593100
1011/2019
10/1/2020
EACHOCCURRENCE
$3.000.000
AGGREGATE
63.000.000
Is
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETOR,PARTNEREXECUTIVE
OFFICERlMEMBEREXCLUDED?
(Mandatory in NH)
It yes, describe under
DESCRIPTION OF OPERATIONS Oe*w
NIA
'.OTH-
STATUTE ER
E.L. EACH ACCIDENT
s
E.L. DISEASE - EA EMPLOYE
-
$
$
EL- DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarka Schedule, may be attached It more space Is required)
All policy terms, conditions, and exclusions apply.
I.tH I It -ILA I t MULUtrl 1,A141.tLLA I IUIN
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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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