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Home My WebLink About276712 FINE TREE SERVICE - INSURANCE CERTIFICATE (2)COLORADO—RIP INSURANCF Fax 19702R72231 Dar. is 2007 06 a2DIT P0011002 ACORIZ CERTIFICATE OF LIABILITY INSURANCE i2/19/2200 ) PRODUCER (970;)223-0924 FAX (970) 267-2231 Colorado BW Insurance Agency, Inc 1075 W Horsetaoth Rd, Ste loll Fort Collins, CO 80526 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ALTER INSURERS AFFORDING COVERAGE NAIL # INSURED Fine Tree Service, Inc 3060 Delozier Drive Unit A Fort Collins, CO $0524 INSURERA Hartford [The] INSURERS Pinnacol Assurance INSURER IN$uRER D NSURER E rriiPFO a P_cC THE POLIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NONYITHSTANDING CI ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THISO ERTIFICATE MAYBE 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 LIM IT5 SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIM$ INSR DD IypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIAPRITY X OOMMERC)ALGENERALL1AB14RY CLAIMS MADE O OCCUR 34UUNSR4541 07/05/2007 07/05/2008 EACHOOCURRENCE S 1,000,000 DAMAGETORENTED g 100,000 MOD EXP'Any one person) S 5 000 PERSONAL&ADVINJURY S 1,000.000 GENERALAGGREGATE S 2,000,000 GENLAGGREGATE LIMIT � APPLIES PER X POLIi Y JFCT LOG PRODUCTS - COMPIOP AGE $ 2,000,00 A AUTOMOBILE X LIABILRY ANYAUTO ALL C WV ED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON -OWNED AUTOS 34UUNSR4541 07/05/2007 07/05/2008 COMBINED SINGLE LIMIT (EaaWJBv I $ 500,00 BODILY INJURY (Par person) $ X BODILY INJURY To 8 drink) $ X PROPERTYDAMAGE (Pero denN S GARAGEIIASIUTY ANY AUTO AUTO ONLY-EAACCIOENT 8 OTHER THAN EA ACC AUTO ONLY AGO S S EXCESSIUMSKELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIOLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ S S B WORKERS COMPENSATION AND EMPLOYERS LIP BILITY ANY PROPPIETCRIPAPTNER/EXECUTIVE OFFICER)MEMBE R EXCLUDED? H YBB C.E IlbP ender SPECIAL PROVISIONS blb- 4093365 07/01/2007 07/01/2008 X WCSTATIJ OTH- EL EACH ACCIDENT S lOO, 00 EL DISEASE, EA EMPLOYEE $ 100.000 EL DISEA6E-POLICY LIMIT $ 500 000 OTHER DESCRIPTIONO OPERATIONS LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS he certi Tc--- hostler is named as an additional insured with respect to the ongoing operations of the named insured on the General Liability only. City of Fort Collins Purchasing Division Attn: Christine PO Box 580 Fort Collins, CO 8OS22 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MML 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT DUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON T I SURER, ITS AGENTS OR REPRESENTATIVES rwnenan ecoRwecv n T le COLORRDO-BIN INSURANCE Fax 19702672231 Dec 19 2007 04 32pm P002/002 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 nghts 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($), 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 (2001l08)