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HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE (3)ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/24/09 PRODUCER LIC #0352275 1-415-541-7900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo of CA Ina. Services Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 45 Fremont Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 San Brancisco,,.CA 94105 INSURERS AFFORDING COVERAGE NAIC # INSURED ''I`�•''"-'' "' INSURER A:American Safety Indemnity Company, Inc. AAA Peat'"Proar, PO Box 2'6235..,.. t INSURER 8: ' INSURERC: - -- - - Boulder, CO 80308 INSURERD: --- INSURER E: COVERAGES 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. INSR LTRDATE ADDI POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERA LLIABILITY TPG20063505 03/24/08 03/24/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurence $ 3-00,000 MED EXP (Any one person) $ 5 , 000 CLAIMS MADE F OCCUR PERSONAL BADVINJURY $1,000,000 - -' -- GENERALAGGREGATE $1,000,000 AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMP/OPAGG $1,000,000 -`•GEN'L - +" PRO- X- . POLICY.. LOC •. ... _ AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT­ -(Ea accident) ` BODILY INJURY--�• (Per person) _ _ y ALLOWNEDAUTOS SCHEDULEDAUTOS - BODILY INJURY (Per accident) $ - ' HIREDAUTOS NON-OWNEDAUTOS PROPERTYDAMAGE (Per accident) $ - GARAGE LIABILITY --- -. -.-- AUTO ONLY-EAACCIDENT $ OTHERTHAN EA ACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE 1 $ Is $ DEDUCTIBLE _ $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- T RYLIMIT E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPEC IAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY OF FORT COLLINS IS ADDITIONAL INSURED AS RESPECTS SERVICES PROVIDED BY THE NAMED INSURED UNDER THE GENERAL LIABILITY POLICY. * 10 days notice of cancellation for non payment of premium. IB14:1 CITY OF FORT COLLINS PURCHASING DIVISION P.O. BOX 580 FORT COLLINS, CO 80522 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE --oCO D 5 (2001I08) ad.yl- I L ACORD CORPORATION 1988 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. KORU YZ) tcuv "'I AAA Peat Pros, LLC TPG20063505 COMMERCIAL GENERAL LIABILITY CG20331001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such per- son or organization be added as an additional in- sured on your policy. Such person or organization is an additional insured only with respect to liability arising out of your ongoing operations performed for that insured. A person's or organization's status as an insured under this endorsement ends when your operations for that insured are com- pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: 2. Exclusions This insurance does not apply to: a. "Bodily injury", "property damage" or "per- sonal and advertising injury" arising out of the rendering .of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. CITY OF FORT COLLINS b. "Bodily injury" or "property damage" occur- ring after: (1) (2) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contrac- tor or subcontractor engaged in per- forming operations for a principal as a part of the same project. CG20331001 © ISO Properties, Inc., 2000 Page 1 of 1 W