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129339 NATURESCAPE INC DBA ALPINE GARDENS - INSURANCE CERTIFICATE (7)
1* O CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/Y� 9/25/2015 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: Kelly Beauvais, CIC, CISR Flood and Peterson PO Box 578 PHOAICNENo Ext, A/C N (970)266-7121 FAX (970)506-6845 a ARIL .kbeauvaisQfloodpeterson.com INSURERS AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURERA:Nationwide Ins. Co. of America 25453 INSURED INSURERB:Zurich American Insurance 16535 INSURERC:Travelers Property Casualty 25674 Naturescape, Inc.; Dba: Alpine Gardens, & Fossil Creek Nursery INSURERD:Pinnacol Assurance 41190 INSURER E : 7029 S . College Avenue Fort Collins CO 80525 INSURER F: UUVInKAht, C1-F1I IF1CA I F / 0CVICI!'•A1 KIIIII110C113. 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 SUBR POLICY NUMBER POLICY EFF MM/DD/VYYY POLICY EXP MM/DD/YYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS -MADE OCCUR CP3026741017 6/1/2015 2/1/2015 MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 rGE11 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaccident) 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO BODILY Per accident ( ) $ ALL OWNED SCHEDULED AUTOS AUTOS RA399297811 6/1/2015 2/1/2015 HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 C, EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ UP81M0658715NF 6/1/2015 2/1/2016 D WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N X E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER(Mandao/rylnNH)MBER EXCLUDED? N/A 033906 0/1/2015 0/1/2016 If yes, describe under EL.DISEASE- EAEMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 11000 000 DESCRIPTION OF OPERATIONS below 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. I IFwA I F_ nvLUr-n L;ANI;tLLA I IUN City of Fort Collins Purchasing;Attn: Joh PO Box 580 Fort Collins, CO 80522-0000 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 K Beauvais, CIC, CISR ►`d�� AC;UHU ZO (ZUIU/Ub) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD