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HomeMy WebLinkAbout111134 MILL BROTHERS LANDSCAPE & NURSERY - INSURANCE CERTIFICATE (4)MILLBRO-01 LPREWITT ACOR 0 CERTIFICATE OF LIABILITY INSURANCE D(MM/DD/YYYY) 06T.116/2017 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 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 E: C NE: - PFS Insurance Group �Ar"c°Nro Ft): (970) 635-9400 jvC, No►:(970) 635-9401 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 LEss info@mypfsinsurance.com INSURER(S) AFFORDING COVERAGE NAIC A INSURER A:Em to ers Mutual Casualty Company 21415 INSURED Mill Brothers Landscape & Nursery, Inc. dba Mill Brothers INSURER B : PlnnaCOl Assurance CO 41190 Landscape Group INSURERC: dba Grillnetics Outdoor Cabinetry INSURER D: PO Box 339 Timnath, CO 80547 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMRFR7 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 TYPE OF INSURANCE ADDLISUBR INSD WINDPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED R rencel 300,000 III CLAIMS -MADE OCCUR 4D95754 07/01/2017 07/01/2018 MED EXP (Any oneperson) $ 5,000 X Blanket Add'I Insd PERSONAL & ADV INJURY 1,000,000 X Blanket Waiver _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X dECT LOC GENERAL AGGREGATE $ 2,000,000 LL PRODUCTS -COMP/OPAGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident)- _ $ X ANY AUTO 4E95754 07/01/2017 , 07/01/2018 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X Blanket Add'Ilnsd X ,Blanket Waiver PROPERTYDAMAGE $ - $ A X UMBRELLA LIAB X OCCUR S,000,OOO EACH OCCURRENCE '$L] EXCESS LIAB CLAIMS -MADE I 75754 07/01/2017 07/01/2018 AGGREGATE $ 5,000,000 DED I X RETENTION $ 10r000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YI" KFICER/MEMBER EXCLUDED? in1' andatory NH) NIA X PER T ORTH- STAIU3037054 07/01/2017 07/01/2018 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 1,000,000 $ OOO' OOO $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A A Installation Leased/Rented Equip 4C95754 07/01/2017 07/01/2018 $1,000 Deductible 4C95754 07/01/2017 07/01/2018 $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) RE: 7034 Cottonwood Glen Overflow Parking Lot Landscape 8, Irrigation. The City, its officers, agents and employees If required by written contract or written agreement the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The referenced (excluding Professional Liability) are included as Additional Insured for ongoing operations under General Liability and Designated Insured under Automobile Liability (except Hired and Non -Owned Automobile). A Waiver of Subrogation applies to those named above for General Liability, Automobile Liability and Workers' Compensation. Contractual Liability is included. Umbrella provides excess coverage over the General Liability, Automobile Liability and Employers Liability. This insurance will apply on a primary, non-contributory basis. CERTI City of Fort Collins PO Box 580 Ft. Collins„ CO 80524 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD