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HomeMy WebLinkAbout391001 WATERWISE LAND AND WATERSCAPES - INSURANCE CERTIFICATEAoCC)R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) � 12/18/2017 r 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 NAME: Stansfield Insurance Agency PHONE Ed 970-204-0020 FAX,1A No (AJC No: 970-204-0306 5125 S College Ave, Suite B E-MAIL ADDRESS: _ Fort Collins, CO 80525 ,...... „_,__ INSURER A: Mid-CenturV Insurance 21687 INSURED INSURER B: Truck Insurance Exchange 21709 Waterwise Land and Waterscapes Inc. INSURERC: 1930 N Whitcomb St INSURERD: Fort Collins, CO 80524 INSURERE: INSURER F rOVPRer:GC rGDTICIrATF All IMRCD• oCVrQrAu ur Moen. 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 NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDrMY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAfMS-MADE � OCCUR X Products Comp/Ops Y Y 604343632 12/01/17 12/01/18 EACH OCCURRENCE $1 000 000 DAMAGE T REN ED PREMISES Ea occurrence $100000 MED EXP (Any one person) $5 000 PERSONAL BADVINJURY $1000000 X 1 Broad Form GENERALAGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED X AUTOS X AUTOS X HIRED AUTOS X NON -OWNED AUTOS Y 604343532 12/01/17 12/01/18 SINGLE LIMIT Ea accident) $1 000 OOO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAR EXCESS LAB X OCCUR CLAIMS -MADE Y Y 604348996 12/01/17 12/01/18 EACH OCCURRENCE $3 00O 000 AGGREGATE s3,000,000 DEC) I X I RETENTION $1O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NIQRY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y A04165536 2/01/17 12/01/18 X WC STATU- OTH. LIMITS ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYE0 $1.000.000 E.L. DISEASE - POLICY LIMIT 1 $1 000 000 Operations: Landscape I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) "that indemnifies the City against any and all losses that may arise from the use of the parking spaces". CERTIFICATE HOLDER CANCELLATION City of Ft Collins PO Box 580 Ft 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 (� " + © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD