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HomeMy WebLinkAbout281095 A 1 ORGANICS - INSURANCE CERTIFICATE''� �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMID 4/28/2 15Y' 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 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: Dannette Wilson CISR PHOAICNE (970)506-3269 FAXAIC. N . (970)506-6860 Flood and Peterson E-MAIL .DWilson@floodyeterson.com AUDRESS PO Box 578 INSURERS AFFORDING COVERAGE NAIC N INSURERA:Nationwide Agribusiness Greeley CO 80632 INSURED INSURER B INSURER C: Lambland, Inc. INSURER D: Al Organics, Inc. INSURER E: Al Organics Phoenix, LLC INSURER F: 16350 CR 76 - Eaton CO 80615 COVERAGES CERTIFICATE NUMBER:CL1542402420 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 rypE OF INSURANCE ADDL POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM DD YYY LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMI E Ea c rr n $ 300,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR CPP125254A /26/2015 /26/2016 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 rX7X POLICY PRO 71 LOC $ AUTOMOBILE LIABILITY EOMaBINEDt SINGLE LIMIT 11000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED X AS AUTOS PP125254A /26/2015 /26/2016 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per a m $ NON -OWNED HIRED AUTOS X AUTOS Medical Payments $ 5,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ $ 125254A /26/2015 /26/2016 WORKERS COMPENSATION WC STATU- I I OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) It yesdescribe unaer DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICYLIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) (970)221-6707 City of Fort Collins Attn: Financial Services - Purchasing Division - BOX 580 Fort Collins, CO 80522-0000 JW.UAA 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 Wilson, CISR/DWILSO - - - "�� x ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (20100$).01 The ACORD name and logo are registered marks of ACORD