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HomeMy WebLinkAboutAUTUMN TREE CARE - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE 03/01/2 04 PRODUCER (303)939-9921 FAX (303)939-9926 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Herbert -Leavitt Longmont ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 275 South Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 208 Longmont, CO 80501 INSURERS AFFORDING COVERAGE NAIC # INSURED Autumn Tree Care LLC INSURERA: Pinnacol Assurance 913 E Prospect St INSURER B: Fort Collins, CO 80525 INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN, 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. INSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMI1X)fYY1 POLICY EXPIRATION DATE (MMIDDIM LIMITS GENERALLIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE O OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO 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 $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 406S348 005 TH- X I WC STMIT ER A EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE AVbt2b04 E.L. EACH ACCIDENT $ 100,00( E.L. DISEASE - EA EMPLOYE $ 100,00( OFFICERIMEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500, OD OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ertificate holder is named as additional insured but only as respects the liability arising out of th rk performed by the named insured. ml� r wrr^u SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Purchasing Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, John Stephen BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY 215 N . Mason OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80525 Sally Herbert ELM ACORD 25 (2001/08) FAX: (970)221-6707 ©ACORD CORPORATION 1988