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HomeMy WebLinkAbout111134 MILL BROTHERS LANDSCAPE & NURSERY - INSURANCE CERTIFICATE (3)MILLBRO-01 LPREWITT ACORO E (MM/ CERTIFICATE OF LIABILITY INSURANCE DATOYY) E(MMI DDNYDNY 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 have ADDITIONAL INSURED provisions or 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). (CONTACT PRODUCER NAME: PFS Insurance Group 4848 Thompson Parkway Suite 200 PHONE L , Ext): (970) 635-9400 (FAX,No).(970) 635-9401 Johnstown, CO 80534 A DREs : info@mypfsinsurance.com INSURED Mill Brothers Landscape & Nursery, Inc. dba Mill Brothers Landscape Group dba Grillnetics Outdoor Cabinetry 4760 Three Bell Pkwy Timnath, CO 80547 C: Pinnacol Assurance Co Com w- ^=DDCVI4ZIr1KI All IMRGD- 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 LTRA TYPE OF INSURANCE ADDL SUINSDIWBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [ X] OCCUR Blanket Add'I Insd X 4D95754 07/01/2018 07/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrent 800,000 $ X ME EXP (Any oneperson) $ 5,000 X Blanket Waiver PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X jEpf LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUTOS ONLDY X Blanket Add'I Insd X Blanket Waiver 4E95754 07/01/2018 07/01/2019 Ea a.id.n SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PerOaccidentDAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR 'i CLAIMS -MADE 4K95754 07/01/2018 07/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ S,000,OOO DIED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 13037054 07/01/2018 07/01/2019 X PTAT OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ A A Installation Leased/Rented Equip 4C95754 4C95754 07/01/2018 07/01/2019 07/01/2018 07/01/2019 $1,000 Deductible $1,000 Deductible 150,000 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522 L91► SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD