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129339 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.