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:
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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)