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HomeMy WebLinkAbout442020 VERDAD INC DBA LAWN DOCTOR OF FORT COLLINS - INSURANCE CERTIFICATEVERDA-1 OP ID: CT CERTIFICATE OF LIABILITY INSURANCE FDA01/29/2016TE Y) 01/29/2016 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 Phone: 970-223-1804 CONTACT VolkBell Property & Casualty PHONE FAX 1100 Haxton Dr. Suite #100 Fax: c No Ext : (A/c, No): Fort Collins, CO 80525 E-MAIL Steven G. Smith ADDRESS: INSURED of Fort Collins PO Box 1784 Fort Collins, CO 80522 INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Cincinnati Insurance Companies 110677 INSURER B: Pinnacol Assurance 141190 E COVERAGES CERTIFICATE NUMBER: 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 _AODL UBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR EPP0231210 02/01/2016 02/01/2017 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 X Emp Benefits EPP0231210 02/01/2016 02/01/2017 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO EPP0231210 02/01/2016 02/01/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE EPP0231210 02/01/2016, 02/01/2017 DED I X I RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N B ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N ( A 4153993 03101 /2015 03/01/2016 X I WC STATU- OTH- T RY LIMITS ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTON OF OPERATIONS below E.L. DISEASE - F'OLICI' LIMIT $ 500,000 A Property EPP0231210 02/01/2016 02101/2117 B Bldg 483,650 A Inland Marine EPP0231210 02/01/2016 01/02/2017 Lsd/Rent 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Fort Collins is named as an additional insured as required by written contract. l.tK I IrII,A I t MULL11 tK I,ANGtLLA I IUN COFCNSS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 413 S Bryan Avenue Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD