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HomeMy WebLinkAboutMILL BROTHERS LANDSCAPE GROUP - INSURANCE CERTIFICATE-� MILLBRO-01 JCAMPBE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY)02/21/2018 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). PRODUCER C NTACT PFS Insurance PFS Insurance Group MEE 4848 Thompson Parkway Suite 200 (AIco, N , Ext): (970) 635-9400 (Ac, No):(970) 635-9401 Johnstown, CO 80534 . info@mypfsinsurance.com INSURED Mill Brothers Landscape & Nursery, Inc. dba Mill Brothers INSURER 0: Pinnacol Assurance Co 41190 Landscape Group INSURER C : dba Grillnetics Outdoor Cabinetry INSURER D : PO Box 339 Timnath, CO 80547 INSURER E: INSURER F : envFaer_Fs C-ERT!F!C-ATE 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. LTRINSR ADDL SUPOLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE ER POLICY NUMBER VQ A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X OCCUR Blanket Add'I Insd X 4D95754 07/01/2017 �i, 07/01/2018 EACH OCCURRENCE $ 1,000'000 DAMAGE TO RENTED EMISESAEa_occ rra 500,000 $ X MED EXP An one person)$ 5'�0 X Blanket Waiver PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JE&- D LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOOS ONLY AUTOS X AUTOS ONLY X AUOTOS ONE Y X Blanket Add l Insd X Blanket Waiver �I 4E95754 07/01/2017 07/01/2018 COMBINED tSINGLE LIMIT BODILY INJURY Per person)$ $ 11000,000 _ $ $ BODILY INJURY Per accident A0PE AMAGE A X UMBRELLA LIAB X OCCUR EXCESSLU►e CLAIMS -MADE �— -- — DED X RETENTION $ 10,000' K95754 07/01/2017 07/01/2018 EACH OCCURRENCE _ _ nGGREGATE _ _ $ S,000,OO- $ 6,000,000 B WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE RrNIAFICER/MEMBER EXCLUDED? N andatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 3037064 07/01/2017 � 07/01/2018 OTH- X I PTRTU E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 1000,000 $ ' E.L. DISEASE - POLICY LIMIT A A Installation Leased/Rented Equip C95754 07/01/2017 07/01/2018 4C96754 07/01/2017 07/01/2018 $1,000 Deductible 150,000 $1,000 Deductible 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 Auto Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD