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Home My WebLink About414759 SWINGLE LAWN TREE & LANDSCAPE CARE - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE AC-ORD.10 M/l/200707 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp 700 Broadway, Suite 1000 Denver CO 80203 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURED INSURERA Travelers Indemnity Company CL Swingle, Inc , Swingle Lawn, Tree and INSURERS Pinnacol Assurance Landscape Care, Arborworks By Swingle 8585 E Warren Avenue INSURER Denver CO 80231 INSURER INSURER E COVERAGES HE 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 ERTIFICATE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPMMIIRATIONITR DDNYI LIMITS A GENERAL LIABILITY 6606299L758TIA07 10/1/2007 10/l/2008 EACH OCCURRENCE $1, 000 000 FIRE DAMAGE (Any one fire) $300, 000 X COMMERCIAL GENERAL LIABILITY MED E%P (Any one person) El Q 00 0 CLAIMS MADE � OCCUR PERSONAL B ADV INJURY 000 GENERAL AGGREGATE GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGO 000 RO LOG POLICY X PIFQT A AUTOMOBILE LIABILITY ANY AUTO 8106299L758TIA07 10/1/2007 10/1/2008 COMBINED SINGLE LIMIT (Ea accident) r$2000.' 000 X BODILY INJURYSCHEDULED (Per person) ALL OWNED AUTOS AUTOS X X BODILY INJURY (Per accident) $ HIREDAUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO A EXCESS LIABILITY CUP6299L758IND07 10/1/2007 10/1/2008 EACH OCCURRENCE $2 000 000 AGGREGATE $2 000, 00 }{ OCCUR CLAIMS MADE E $ DEDUCTIBLE $ X RETENTION $10, UUU B WORKERS COMPENSATION AND 4033574 10/l/2007 10/l/2008 WC STATU- OTH X 4II5 EL EACH ACCIDENT $50-0000 EMPLOYERS LIABILITY EL DISEASE - EA EMPLOYEE $500. 000 EL DISEASE -POLICY LIMIT $500 000 A OTHER erbr cede & Pesticide 6606299L758TIA07 10/1/2007 10/1/2008 $1, 000,000 Limit pplicator Coverage Claims Made DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS s required by written contract or written agreement, Endorsement As required by written contract or written the General Liability includes Blanket Additional Insured agreement, Blanket waivers of Subrogation apply to the General Liability and Workers Compensation ADDITIONAL City of Fort Collins Purchasing PO Box 580 Fort Collins CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED RE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER MAIL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^ ;r ACORD 25-S IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon (7197) ACORD, CERTIFICATE OF LIABILITY INSURANCE 0 Tl/20DYY) 11 zoo? PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE _ INSURED INSURERA Travelers Indemnity Company (CL) Swingle, Inc , Swingle Lawn, Tree and INSURERS Pinnacol Assurance Landscape Care, Arborworks by Swingle INSURER 8585 E Warren Avenue Denver CO 80231 INSURER NSURER E COVERAGES I HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYI POLICY EXPIRATIONLTR DATE MMDDNY) LIMITS A GENERAL LIABILITY 6606299L758TIA07 10/1/2007 10/l/2008 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Any one fire) $3 0 0 0001 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $1 Q 0 0 0 IV CLAIMS MADE L�I OCCUR PERSONAL B ADV INJURY $1 o0O,000 GENERAL AGGREGATE $ 0QQ-,-Q9_0_ GEML AGGREGATE LI MIT APPLIES P ER PRODUCTS OOMPIOPAGG $2 O�0 Ono POLICY j( PRO LOD A AUTOMOBILE X LIABILITY ANY AUTO 8106299L758TIA07 10/l/2007 10/l/2008 COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 I BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS _ X X BODILY INJURY (Per accident) $ HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG A EXCESS LIABILITY CUP6299L758IND07 10/1/2007 10/1/2008 EACH OCCURRENCE $2 0, 00 000 AGGREGATE $2 000,000 X I OCCUR CLAIMS MADE 8 $ DEDUCTIBLE $ ,X RETENTION $10 000 $ WORKERS COMPENSATION AND 4033574 10/1/2007 10/1/2008 WC STATU- OTH X T9BYLIMIT5 ER_ EL EACH ACCIDENT $SOO, 000 EMPLOYERS LIABILITY EL DISEASE - EA EMPLOYE $500 000 EL DISEASE POLICY LIMIT 1 $500 000 A OTHER erbicide & Pesticide 6606299L758TIA07 10/1/2007 10/1/2008 $1,000,000 Limit pplicator Coverage Claims Made DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS s required by written contract or written agreement, the General Liability includes Blanket Additional Insured Endorsement As required by written contract or written agreement, Blanket Waivers of Subrogation apply to the General Liability and Workers Compensation City of Fort Collins Purchasing PO Box 580 Fort Collins CO 80522 ACORD 25-S (7197) D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED E THE EXPIRATION DATE THEREOF, THE ISSUING INSURER MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL: TO THE LEFT AUTHORIZED REPRESENTATIVE /,/� y� ji x y o ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25-S (7197)