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HomeMy WebLinkAbout129339 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