HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS - INSURANCE CERTIFICATE (6)ACC)R a CERTIFICATE OF LIABILITY INSURANCE
DATE
5/29/2015 Y)
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
Flood and Peterson
PO Box 578
Greeley CO 80632
CONTACT NAME: Kelly Beauvais, CIC, CISR
PHONE (970) 356-0123 FAA/CX No: (970)330-1867
EA -MAIL DDRESS.kbeauvais@floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Nationwide Ins. Co. of America
25453
INSURED
Naturescape, Inc.; Dba: Alpine Gardens,Inc.
& Fossil Creek Nursery, LLC
7029 S. College Avenue
Fort Collins CO 80525
INSURERB:Zurich American Insurance
16535
INSURERc:Travelers Property Casualty
25674
INSURERD:Pinnacol Assurance
1190
INSURER E:Llo d's of London
INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1552903168 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
TYPE OF INSURANCE
ADDL
INSR
SUER
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENT
PREMISES Ea occurrence
$ 100,000
A
CLAIMS -MADE Fx_1 OCCUR
X
ACP3026741017
6/1/2015
6/1/2016
MED EXP (Any one person)
$ 5, 000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2 , OOO , OOO
X POLICY PRO LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
1 000 000
X
BODILY INJURY (Per person)
$
B
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
PRA399297811
6/1/2015
6/1/2016
AUTOS AUTOS
PROPERTY DAMAGE
$
NON -OWNED
HIRED AUTOS AUTOS
Per accident
Medical payments
$ 5,000
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 5,000,000
EIIED
AGGREGATE
$ 5, OOO, OOO
C
CESS LIAB
CLAIMS -MADE
I X I RETENTION$ 10,000
$
ZUPSIM06587
6/1/2015
6/1/2016
D
WORKERS COMPENSATION
ATU OTH-
x WC STR FIR
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
033906
0/1/2014
0/1/2015
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
E
Professional Liability
AB1401453
6/1/2015
6/1/2016
Limit of Insurance $1, 000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins Purchasing
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
Morgan, CISR/WMORGA I7-z0T-'"."
ACORD 25 (2010/05) 0 1988-2010 ACORD CORPORATION. All rights reserved.