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HomeMy WebLinkAbout462834 FOOTHILLS LANDSCAPE MAINTENANCE LLC - INSURANCE CERTIFICATE (6)`� �® CERTIFICATE OF LIABILITY INSURANCE onr3/24/202) 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 polic "(ies) must have ADDITIONAL INSURED provisions or be endorsed. ifBUBROGATION 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.'UUNIAUT NAME: Karole Peters Madison Insurance Group PR A/C NNo E <i ; 3033220800 (AIC, No): 3033220874 ADDRESS: kpeters@madisoninsurance.net 6005oi1[h Cherry St Ste 900 _ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A . NATIONWIDE', INSURANCE 23787 Denver C_O. 8_024.6 INSURED INSURERB: TRAVELERS INSURANCE 19046 Foothills Landscape Maintenance, LLC INSURER c : PRNACOL ASSURANCE 41190 Po Box 189 INSURER D : CENTRAL MUT INS CO 26230 INSURERS : Windsor CO 80550 INSURER F:. COVERAGES CERTIFICATE NUMBER: 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 REOUCED$Y PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. CLAIMS -MADE ® OCCUR PREMISES'(Ea occurmnce) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y ACPGLD03049733876 04/01/2020 04/01/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ®jRa ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY (Ea accident) $ I,000,OOO X BODILY INJURY (Per person) $ ANY AUTO D OWNED SCHEDULED AUTOS ONLY AUTOS Y BAP9913797 04/01/2020 04/01/2021 BODILY INJURY (Per accident) $ HIRED y NON -OWNED AUTOS ONLY I► AUTOS ONLY P (P.er. accident). $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,060,000 B EXCESSLIAB CLAIMS -MADE ZUP-9IM95774-19-NF 04/01/2020 04/01/2021 AGGREGATE $ 400Q000 DED._I I RETENTION$ _ $ _ C WORKERS COMPENSATION AND EMPLOYERS IJAB UTY YIN Y PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? �N NIA 4154852 04/01/2020 - - 04/01/2021 yy - - - J6. STATUTE UT - ER. - - - - - E.L. EACH ACCIDENT $ 1,600,000 - E.L. DISEASE- FA EMPLOYEE $ 1,600,000 Mandatory In NH) yyes, describe under _ _ -ESCRIPTION OF OPERATIONSbelow_ _ E.L. DISEASE - POLICY LIMIT $ 1,000,000 Scheduled Epipment $299,600 A Contractors Equipment ACP CIM 3048733876 04/01/2020 04/01/2021 Leased/Rented Limit $100,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may - be attached If more c - - - -- ( pace Is required) The certificate holder is included as an additional insured in regards to the General and Auto Liability policies per written contract. City of Fort Collins its Officers, Agents and Employees 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. KArva Peters ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD reserved.