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HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS - INSURANCE CERTIFICATE (9)ACOR" CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
12/1/2016
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 endorsements .
PRODUCER
Flood and Peterson
PO BOX 578
Greeley CO 80632
CONTACT Kelly Beauvais, CIC, CISR
NAME:
_
'HONAIC_EExt: (970) 356-0123 aC No: (970)330-1867
E-MAIL kbeauvais@floodpeterson.com
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Union Insurance Company
25844
INSURED
Naturescape, Inc.; Dba: Alpine Gardens,
& Fossil Creek Nursery
7029 S. College Avenue
Fort Collins CO 80525
INSURERB:COntinental Western Insurance
INSURERC:Pinnacol Assurance
41190
INSURER D:Ll d,s of London
INSURERE:
INSURERF:
COVERAGES CERTIFICATE NUMBER:Full Cert Master 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
ADDL
SUBR
POLICY EFF
POLICY NUMBER MM DDNYYY
POLICY EXP
MM DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 5,000
CPA315612710
12/1/2016
12/1/2017
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS- COMP/OP AGG
$ 2,000,000
X POLICY ECT LOC
Employee Benefits
$ 2,000,000
OTHER:
AUTOMOBILE LIABILITY
INED SINGLE LIMIT
COMBEaacdnt
cie
$ 1,000,000
BODILY INJURY (Per person)
$
B
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS
CALA315612610
12/1/2016
12/1/2017
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$ _
NUTOS
ON -OWNED
X HIRED AUTOS X AUTOS
Medical payments
$ 5,000
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5, 000, 000
AGGREGATE
$ 5,_000, 000
A
EXCESS LIAB
CLAIMS -MADE
DED I X 'RETENTION 10,000
$
CPA315612710
12/1/2016
12/1/2017
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PRGFPoETOFL'PARTNEA/EX
PER
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
C
OFFICER/MEMBER EXCLUDED? u
(Mandatory in NH)
N/A
4033906
SO/1/2016
10/1/2017
E.L. DISEASE - EA EMPLOYEO
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
D
Professional Liability
AB1601453
12/1/2016
12/1/2017
Aggregate $1, 000, 000
Deductible $5, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / 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.
CFRTIFICATF HOLDFR CANCELLATION
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
K Beauvais, CIC, CISR
©1988-2014 ACORD CORPORATION. All rights reserved.