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HomeMy WebLinkAboutTrueGreen Limited - Insurance Certificate DATE(MWDD/YYYY)
A 6Ro® CERTIFICATE OF LIABILITY INSURANCE 1 12/19/2024
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
A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polic policy,
certain policies may require an endorsement. A must have ADDITIONAL INSURED provisions A statement on
be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollicy,
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER NAME_ JOAnn War 1�001 _ x —
ement Services, LL
g Arthur J. Galla her Risk Mana C PHONE — FA 615-263-5853
Creekside Crossing A/C—No EXt)_615 377-5153 � N
E-MAIL
8 Cadillac Drive, Suite 200 ADDREss_ JoAnn Warpool
Brentwood TN 37027 _ _INSURER S AFFORDING COVERAGE NAIC#
INSURER A::National Union Fire Insurance Company f Pittsburg19445
INSURED TRUGHOL-01 _ 19399
INSURER B:AIU Ins Company -
TruGreen Limited Partnership INSURER C____ -
1790 Kirby Parkway — -
Forum II Tower INSURER o:
Memphis TN 38138 INSURER E: _. _— -- --
INSURER F:
COVERAGES CERTIFICATE NUMBER:1608999988 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.
rA
ADDL SUER POLICY EFF POLICY EXP LIMITS
ff
RANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
X RALLIABILITY Y Y 5425760 1/1/2025 1l1/2026 EACH OCCURRENCE $3,000,000
DA A E T R TED
1XIOCCUR PREMISES Ea occurrence $3,000,000
MED EXP(Any one person) $5,000 _
PERSONAL&ADV INJURY $3,000,000
X $2,000,000 Ded _
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $20,000,000
PRO- PRODUCTS-COMP/OP AGG $Incld in Gen Agg
X POLICY❑JECT LOC
OTHER: COMBINED SINGLE LIMIT
A AUTOMOBILE LIABILITY Y Y 4993205(All Othef States) 1/1/2025 1/1/2026 Ea accident $5,000,000
g 4993206(MA) 1/1I2025 1/1/2026 BODILY INJURY(Per person) $
X ANY AUTO -- - ----
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS I PROPERTY DAMAGE $
X HIRED X NON-OWNED Per accident
AUTOS ONLY AUTOS ONLY $
X $2M Ded
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
$
DED RETENTION$
I PERe WORKERS COMPENSATION Y WC080772137(AOS) 1/1/2025 111/2026 X STATUTE OERH
B AND EMPLOYERS'LIABILITY Y/N WC080772139(WI) 1/1/2025 1/1/2026
E.L.EACH ACCIDENT $1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE a
N/A
OFFICER/MEMBEREXCLUDED? i E.L.DISEASE-EA EMPLOYEE $1,000,000
(Mandatory in NH)
If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
If required by written contract per forms listed,Cert Holder is included as an Additional Insured on the General Liab.per form CG2010 04/13;CG2037 04/13;
Auto Liab.policies CA4993205-87950 9/14;CA4993206-87950 9/14 and CA4993206 form MM9950 9/98.Waiver of Subrogation-General Liab.per form
CG2404 5/09,Auto Liab.per form 62897 6/95 and Workers'Comp.policies per form WC000313 4/84;WC040361 11/90-CA.General Liab.policy is primary
and non-contributory per forms 90534 3/06 or 83644 8/12;74434 10/99 If required by written contract,the auto policy is primary per form#74445 10/99 if
required by written contract. General Liab.Coverage has Pesticide or Herbicide Applicator Endorsement 30 day notice of Cancellation applies per these forms:
#99 0 6A4/119;Polic3205 form#108538 y#WC0807721 9/,form#9 03206 not 56 4/11 available
IWo Workers Comp policer MA.General s have$2 000,000 Dedu Form#107414 c11;Workers tible.Texas so not a covered sttate772137 under the
workers comp.policies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 580
215 N. Mason Street, 3rd Floor AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522-0580 -
USA
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ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD