HomeMy WebLinkAbout494628 LINDGREN LANDSCAPING & IRRIGATION INC DBA L - INSURANCE CERTIFICATEACOR0 CERTIFICATE OF LIABILITY INSURANCE "" 0/24/2019 '
10242019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ON 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 OONSTITUTE 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 polley(ies) must have ADDITIONAL INSURED provisions or be endorsed.
if SUBROGATION IS WAIVED, subject to the fi
terms and con bitions of the policy, certain policies may require an endorsement A statement on
this certificate does not confer rights to the cardcate holder in iieu'of such endoreement(s).
PRODUCER I Nam: rT Dana Stewart, CIC, CISR
Flood and Peterson PHONE (970)266-7149 FAX
No (970)506-6845
AAH-
PO Box 578 Annwceu. DStewart@floodpeterson.com
Lindgren Landscaping 8. Irrigation Inc., DBA:
3825'ECounty Road 30
PO Box 271273
Fort Collins
86632
Landscape
80527
EMCASCO Insurance
Employers Mutual Cal
Pinnacol Assurance
RFmIunN Nr tMRFR•
41190
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
- _ _ -INSD_ -- - - _
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIRMUCK
LTR
TYPE OF INSURANCE
I
POLICY NUMBER
M
MMID
uMrrs
COMMQtQALGENERALLIA&LRY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE OCCUR
PREMISES Eeobeunence
S 500,000
MED EXP y one n
$ 10,000
A
5X77301-20
11/01/2019
11/01/2020
PERSONAL BADVINJURY
$ 1,000,000
.GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,DOO,000
POLICY � EC LOC
PRODUCTS -COMPIOPAGG
$ 2,000,000
E
_OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
E 1,000,000
BODILY INJURY (Per person)
E
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
5X77301-20
11/612019
11/012620
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
S
E
n
UMBRELLA IJA 3
OCCUR
EACH OCCURRENCE
S 2,000,000
AGGREGATE
,S 2,000,000
B
EECESSLU1e
CLAIMSWADE.
UTM01r20
11/012019
11/012020
.DED RETENTION S
E
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIRIPARTNER/EXECUTIVE
OFFICERAAEMBMBEREXCLUDED'7 �
(Mandatory_ In NH)
NIA
3463329
11/012019
11l012020
PER OTH-
S ATUTE ER
E.L. EACH ACCIDENT
E 1.000,000
I E.L. DISEASE -EA EMPLOYEE
E 1,000,000
If yes. describe under
DESCRIPTION OF OPERATIONS below
EL DISEASE- POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VENICLES (ACORD 101, Addition
Remarks Scledula, mayIie attached If more apace Is required)
^CarronAT unr rice I nAurer r Arrnu
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
AUTHORED REPRESENTATIVE
Fort Collins CO
80522
1�1�d11
V 9ar80-cu1a Awrcu wnrummI lun. An ngm:s reserves.
ACORD 15 (201W03) The ACORD name and logo are registered marks of ACORD