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HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS & FOSSIL - INSURANCE CERTIFICATE (3)ACORO0 AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/17/2017 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 Kelly Beauvais, CIC, CISR NAME Flood and Peterson PO Box 578 ?ACN c , (970)266-7121 FAXNo: (970)330-1867 AIL ADDRESS:kbeuuvais@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Union Insurance Company 25844 Greeley CO 80632 INSURED INSURER B Continental Western Insurance 10804 INSURERC:Pinnacol Assurance 41190 Naturescape, Inc., DBA: Alpine Gardens INSURERD: & Fossil Creek Nursery 7029 S. College Avenue INSURERE: INSURERF: Fort Collins CO 80525 COVERAGES CERTIFICATE NUMBER:Master x 12/18 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 LTR TYPE OF INSURANCE L BR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1 , 000 000 $ , A CLAIMS -MADE �X OCCUR O RENTE PREMISES Ea occurrence) $ 300, 000 MED EXP (Any one person) _ $ 5,000 CPA3156127 12/1/2017 12/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a ECT E LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 Employee Benefits $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SiNGL LI Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CAA3156126 12/1/2017 12/1/2018 BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE (Per accident) $ Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS L446 CLAIMS -MADE DEC) I X I RETENTIONS 0 $ CPA3156127 12/1/2017 12/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N X STATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 C ANY PROPRIFTOWPARTNER)EXECUTIVF OFFICEFVMEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 4033906 10/1/2017 10/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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. 113:ill2LaL' II=11111i La1��13:+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing;Attn: Joh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 3eallJais, CZC, CISR � - 2r © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD