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HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS & FOSSIL - INSURANCE CERTIFICATE (2)AC� ® 7DATE (MM/DD/VYYY) CERTIFICATE OF LIABILITY INSURANCE 1/23/2015 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 Kell Beauvais, CIC, CISR NAME: Y Flood and PetersonExtI: PHONE (970) 266-7121 A/C No: (970)506-6845 PO Box 578 ADDRESS: kbeauvais@floodpeterson.com _ INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURERA:Nationwide Ins. Co. of America 25453 INSURED INSURERB:Zurich American Insurance Com an 16535 Naturescape, Inc.; Dba: Alpine Gardens, INSURERC:Travelers Property Casualt Co m an 25674 & Fossil Creek Nursery INSURERD:Pinnacol Assurance 41190 7029 S. College Avenue INSURER E:LlO d's of London Fort Collins CO 80525 INSURERF: COVERAGES CFRTIFICATF MIIMRFR•CL15112307327 RFVIRInM MIJIVIll 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/DDNYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) _ $ 5,000 ACP3026741017 12/1/2015 12/1/2016 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYFX7 PRO- LOC GENERAL AGGREGATE $ 2,000,000 2, 000, 000JECT Employee Benefits $ 21000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAP399297812 12/1/2015 12/1/2016 BODILY INJURY (Pid (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Medical payments $ 5,000 X UMBRELLA LIAB X ' OCCUR CH OCCURRENCE $ 5,000,000 [AGGREGATE $ 5,000,000 C EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ ZUP81MO658715NF 6/1/2015 12/1/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under N/A 4033906 10/1/2015 10/1/2016 E.L. DISEASE- EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS below E Professional Liability AB1501453 6/1/2015 12/1/2016 Limit $1,000,000 Deductible Per Claim $ 5 , 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ***PURCHASING DEPT*** Certificate holder is listed as additional insured. tars I IrIGA I r- MULULN GANCELLA I IUN City of Ft. Collins ATTN: Purchasing Department 281 N. College Avenue Fort Collins, CO 80524-0000 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" © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)