HomeMy WebLinkAboutROCKY MOUNTAIN TREE SERVICE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDD/YYYY)
RMTRE-1 10 29 04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th St t Su ite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ree
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088
INSURED
Rocky Mountain Tree Service
Mark Berard DBA
P.O. Box 1334
Loveland, CO 80539
C(1VFRAGPS
INSURERA: Burlington Insurance Cary
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC #
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
INSO
TYPE OF INSURANCE
POLICY NUMBER
DATE (ID EFFECTIVE
POLICYMEXPIRATION
IDD TI N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 500 , OOO
A
X COMMERCIAL GENERAL LIABILITY
251B000804
10/11/04
10/11/05
PREMISES (Ea occurence)
$50,000
CLAIMS MADE X� OCCUR
MED EXP (Any one Person)
$ 1 , 000
PERSONAL &ADV INJURY
$500,000
GENERAL AGGREGATE
$ 1 , 000 , 00 0
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ Included
PRO -
POLICY ECT LOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
N/A
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
N/A
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
N/A
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
N/A
OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICERIMEMBER EXCLUDED?
If yes, desunder cribe uer
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
N/A
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Tree Pruning, Dusting, Spraying, Repairing, Trimming, Fumigating
FAX: 970-221-6586 (LICENSE RENEWAL) ISSUED IN LIEU OF CERTIFICATE ISSUED
10/11/04 TO REFLECT RENEWAL POLICY NUMBER
FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH URER, ITS AGENTS OR
P.O. BOX 580 REP NTATIVES.
Ft. Collins, CO 80522 AUT ORU:ED RFJPRESE TATIVE s
ACORD 25 (2001108) ............
"f @ACfiMD CORPORATION 1988