HomeMy WebLinkAbout414759 SWINGLE LAWN TREE & LANDSCAPE CARE - INSURANCE CERTIFICATE (3)ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE (MMID
9 12 200808
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 THEHIS COVERAGECATE DOES AF AFFORDED BYT AMENDEXTEND OR
THE POLICIES BELLOW.
Denver CO 80203 ALTER
INSURERS AFFORDING COVERAGE
INSURED INSURER A:
Swingle, Inc.; Swingle Lawn, 'Free and INSURER B:
Landscape Care; Arborworks By Swingle—_._.0:
8585 E. Warren Avenue INSURER C:
Denver CO 80231 INSURER D.
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HF 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
]PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OFINSURANCE
POLICY NUMBER
POLICY EFFECTING
POLICY EXPIRATIOfYYIN
LIMITS
A
GENERAL LIABILITY
6306299L'758TIA08
10/1/2008
10/1/2009
EACH OCCURRENCE
$1,_000 000
FIRE DAMAGE lire)
_
$300, 000
$ COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person _
71 CLAIMS MADE LX I OCCUR
PERSONAL B ADV INJURY
$ 1 , 000 �000
GENERAL -AGGREGATE
$
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS_ COMPIOP AGO
$ 2 , 000 1 000
POLICY X PRO LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
8106299L758TIA08
10/1/2008
10/1/2009
COMBINED SINGLE LIMIT
(Ea accitlenl)
$1, 000, 000_
X
_
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident) _
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
ONLY - EA ACCIDENT
$
_AUTO
OTHERTHAN EA ACC
_
$
ANY AUTO
$
AUTO ONLY: AGO
A
EXCESS LIABILITY
CUP62991,758IND08
10/1/2008
10/1/2009
EACH OCCURRENCE_
12J OQO 000 _
AGGREGATE_
$2,,000,000____-
X OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
_ _
$
$ RETENTION $i0 000
B
WORKERS COMPENSATION AND
4033574
10 1 2008
/ /
10/1/2009
X WC STATU oTH-
_1_RY11MIES _ER_.._____.____
E.L..EACHACCIDEN_T
$500, 000
EMPLOYERTLIABILITY
E.L. DISEASE_: EA EMPLOYEE
$50gyQOO _
E.L. DISEASE - POLICY LIMIT
$ 5 0 0 000
A
OTHER
Herbicide & Pesticide
6306299L758TIA08
10/1/2008
10/1/2009
$1, 000, 000 Limit
Applicator Coverage
Claims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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.
s required by written contract or agreement, the City of Fort Collins is included as Additional Insured.
City of Port Collins
Purchasing
PO Box 580
Fort Collins CO B0522
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
FORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
LL MAIL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
RTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
E INSURER, ITS AGENTS OR REPRESENTATIVES.
G4rifflvC -
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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.