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HomeMy WebLinkAbout129339 NATURESCAPE INC DBA ALPINE GARDENS - INSURANCE CERTIFICATE (8)ACC?R O® CERTIFICATE OF LIABILITY INSURANCE DADD//1/ /1/ 9 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Kell Beauvais, CIC, CISR NAME: y PHONE (970)356-0123 FAX (970)330-1867 N Ext : A/C No E-MAless:kbeauvais@floodpeterson.com ADDINSURERS 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 10804 INSURERC:Pinnacol Assurance 41190 INSURERD: INSURERE: INSURERF: /+AVr=�A/�CC rcoTt err nTc nu IMRCG•M;%gt-.Pr (Prt RF'VlglOtJ NIIRARFR- 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 OF INSURANCE ADDLTYPE INSD SUER POLICY NUMBER EFF MM/ DNYYY MM DDPOLICY V EXP YVY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE rz OCCUR DAMAGE TO RENTE PREMISES [Ea occurence $ 300,000 MED EXP (Any one person) $ 5,000 CPA315612720 12/1/2016 12/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO LOC X JECT Employee Benefits $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B XANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS CAA315612610 12/1/2016 12/1/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Medical payments $ 5,000 1 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE P� DED X RETENTION 10,000 1 $ CPA315612720 12/1/2016 12/1/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE IN/A X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ _ 1, 000 , 000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 4033906 1 0 1//2017 10/1/2018 E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below $ 11000,000 I 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. CERTIFICATE HOLDER I:ANk r_LLAI IUN City of Fort Collins Purchasing;Attn: Joh PO Box 580 Fort Collins, CO 80522-0000 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 K Beauvais, CIC, CISR`r" (J 1988-2U14 AGUHU GUHNUHA I IUN. AN rlgnis reserveu. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)