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HomeMy WebLinkAbout120528 FORT COLLINS TREE CARE - INSURANCE CERTIFICATE (6)A. GDRQ CERTIFICATE OF LIABILITY INSURANCE 02/25/2 0 ' PRODUCER (303)776-5122 FAX (303)776-5495 First MainStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO 80502 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED Fort Collins Tree Care, Inc. 1000 East Laurel Fort Col 1 i ns , CO 80524 INSURERA: Hartford Fire Insurance Co. INSURERS: Pinnacol INSURER C: INSURER D: INSURER E: rnVFRAT.FLC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDIN, 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 GATE IMMMD/M POLICY EXPIRATION DATE IMMMOIM LIMITS GENERAL LIABILITY 34UUNSR3900 03/05/2004 03/05/2005 EACH OCCURRENCE $ 1,000 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPRrmlqrq (FA $ 100,00 CLAIMS MADE FX OCCUR MED EXP (Any one person) $ 5 , 00 A PER30NAL C ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY F1 PRO- JECT F1 LOC AUTOMOBILE LIABILITY ANY AUTO 34UEQTZ5808 02/27/2004 03/05/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGELIABILRY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- Ts OTH- B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4068879 05/01/2003 05/01/2004 E.L. EACH ACCIDENT Is 100,00 E.L. DISEASE - EA EMPLOYE I $ 100,000 OFFICER/MEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500 00 AEpiDlacement OTHF,R siness Property: ecial Form, 34UUNSR3900 03/05/2004 03/05/2005 $8,000 Limit $1,000 Ded. Cost DESCRIPTION OF PERATKTNS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance as respects operations of the Named Insured. City of Fort Collins Purchasing Department P.O. Box 580 Ft. Collins, CO 80522-0580 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Milasinovich/]ENNI ,/6'"' 4411A&MI16h ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 02/25/z a' PRODUCER (303) 776-5122 FAX (303) 776-5495 First MainStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO BOS02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED Fort Collins Tree Care, Inc. 1000 East Laurel Fort Collins, CO 80524 INSURERA: Hartford Fire Insurance Co. INSURERS: Progressive INSURER C: INSURER D: INSURER E: CnVFRAPFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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 OkDD*L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD[YYW POLICY EXPIRATION DATE iMMIDDNY] LIMITS EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY 34UUNSR3900 03/05/2004 03/05/2005 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED IF, S-2BFMIRF.9 100,000 CLAIMS MADE O OCCUR MED EXP (Any one perwn) $ 5 ' 00 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO 02529601-0 02/12/2004 08/12/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ B ALL OW NED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OW NED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TH- WC STATU• OrR EMPLOYERS' LIABILITY ANY PROPRIETOR 'PARTNFR/EXECUTIVE ELEACH ACCIDENT . . $ E.L. DISEASE - EA EMPLOYEE — $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A OTHgR Business Property: Special Form, 34UUNSR3900 03/05/2004 03/05/2005 $8,000 Limit $1,000 Ded. e lacement Cost DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance as respects operationm of the Named Insured. CCQTICIr ATr LIn1 IICD 1%AIdC1=1 I ATInAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Purchasing Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ft. Collins, CO 80522-0580 Jennifer Milasinovich JENNI ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORN, CERTIFICATE OF LIABILITY INSURANCE oiii3/20o PRODUCER (303)776-5122 FAX (303)776-5495 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First MainStreet Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 512 4th Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 847 Longmont, CO 80502 INSURERS AFFORDING COVERAGE NAIC # INSURED Fort Collins Tree Care, Inc. INSURERA: Hartford Fire Insurance Co. 1460 Freedom Lane tNSURERB1 Auto -Owners Insurance Fort Collins, CO 80526 INSURER C: INSURER D: INSURER E: nnviceAnM0 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMMIDOPM POLICY EXPIRATIONDATE DATE fMMIDDrDn LIMITS GENERAL LIABILITY 34UUNSR3900 03/05/2003 03/05/2004 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED $ 100,000 CLAIMS MADE OCCUR MED FXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY M jECT LOC AUTOMOBILE LIABILITY ANY AUTO 44217868 01/06/2004 01/06/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,()00 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULEDAUTOS 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 EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE • FA EMPLOYE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A OTHER Business Property: Special Form, 34UUNSR3900 03/05/2003 03/05/2004 $8,000 Limit $1,000 Ded. Replacement Cost DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Evidence of Insurance as respects operationm of the Named Insured. City of Fort Collins Purchasing Department P.O. Box 580 Ft. Collins, CO 80522-0580 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY AUTHORIZED REPRESENTATIVE NJI(.eu VM-,t ACORD 25 (2001/08) ©ACORD CORPORATION 1988