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Home My WebLink AboutTHE DAVEY TREE EXPERT COMPANY - INSURANCE CERTIFICATE 2023-2024'`�coRD� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) `,,.-�" 08/16/2023 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 have ADDITIONAL INSURED provisions or 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 NAMEACT Marsh � U.S. OperaGons MARSH USA LLC. 200 Public Square, Suite 3760 q��NNo (866) 966-4664 Fvc No : Cleveland, OH 44114-1824 E•MAIL Cleveland.CertRe uest marsh.com ADDRESS: q @ INSURED The Davey Tree Expert Company 1500 N. Mantua Street Kent, OH 44240 COVERAGES 138731 RESICA HILL CERTIFICATE NUMBER: iNsuReR A: Old Republic Insurance INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : CLE-005892375-31 COVERAGE NAIC # 24147 REVISION NUMBER: 1 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIALGENERAL LIA8ILITY MWZY 314042 23 OJIO1I2O23 OJ/O1IZO24 EACH OCCURRENCE $ S,OOO,OOO CLAIMS-MADE � OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel S 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY � PR� � LOC JECT OTHER: AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON-OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANYPROPRI ETOR/PARTNE R/EXECUTIVE OFFICER/MEMBEREXCLUDED? � N�A (Mandatory in NH) If ves. describe under Excess Workers Compensation SIR: $5,000,000 0910112024 MWXS 314043 23 (NC, OH, PA, WA) 09/01I2023 09/01/2024 MWXS 316391 23 (CA) 09/01/2023 09/01/2024 MED EXP (Any one person) $ PERSONALBADVINJURY $ GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ $ COMBINED SINGLE LIMIT $ Ea acciden[ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ Per accident $ EACH OCCURRENCE AGGREGATE E.L EACHACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ Workers Compensation Employers Liability 25,000 5,000,000 5,000,000 5,000,000 5,OOQ000 � 5,000,000 5,000,000 5,000,000 � DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Atltlitional Remarks Schedule, may be attached if more space is requtred) THE CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES IS(ARE) INCLUDED AS ADDITIONAL INSURED(S) AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY WHERE RE�UIRED BY WRITTEN CONTRACT OR AGREEMENT AND ONLY AS RESPECTS OPERATIONS PERFORMED ON THEIR BEHALF BY THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION CITY OF FT. COLLINS ATTN: PURCHASING PO BOX 580 FORT COLLINS, GO 80524 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 %ii��a.arz 2� c i� �_C�[? f117f1 CADDf1DAT1AAI All .:..L.a� AGENCY CUSTOMER ID: CN101565730 LOC #: Cleveland ACORO� ��. AGENCY MARSH USA LLC. POLICY NUMBER CARRIER ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMEDINSURED The Davey Tree Experl Company 1500 N. Mantua Slreet Kent, OH 44240 EFFECTIVE DATE: Page 2 of ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensalion does no� apply in MN. Coverage is obtained from Workers Compensalion reinsurance association (W.C.R.A.) as required by the state. Minnesota Employers Liability is covered by policy number MWC 314040 23.