Loading...
HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE (4)02/24/09 ConfirmNet -> 19702216707 Pg 2/4 DATE (MMIDDNYYYI ACORDrN CERTIFICATE 4F LIABILITY INSURANCE 02/24/09 PRODUCER LIC #0352275 1-415-541-7900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo of CA Ins. 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 Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC# INSURED AAA Pest Pros, LLC NSURER A: American Safety Indemnity Company, Inc. INSURERS: PO Box 20235 INSURER C: 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 LTR DO'L INSIRD TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE MIDDNY POLICY EXPIRATION DATE(MMIDDNYI LIMITS A GENERAL LIABILITY TPG20063505 03/24/08 03/24/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIAB ILITY CLAIMSMADE ITOCCUR PREMISES Eaoccurence $ 100,000 MED EXP (Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $1,000,000 POLICY PRO LOC X JECT AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILYINJURY (Per person) $ ALL CWNEDAUTOS SCHEDULED AUTCS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGELIABILITY AUTOONLY- EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESWUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORrPARTNERlIXTI ECUVE E.L. DISEASE - EA EMPLOYEE $ OFFI CERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS! LOCATIONS/ VEHICLES! EXCLUSIONSADDED BY ENDORSEMENT I 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. GtKI II-IGA1 t KULULK CANCELLATION OF FORT COLLINS PURCHASING DIVISION P.O. BOX 580 FORT COLLINS, CO 80522 USA 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 AGUKU LD (LUUT/USj aaoy.<e © ACORD CORPORATION 1988 11194831 02/24/09 ConfirmNet -> 19702216707 Pg 3/4 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. Mt,,VRU LD tzuul/uo) 02/24/09 ConfirmNet -> 19702216707 Pg 4/4 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) 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 (2) 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. CG 20 33 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 13 02/24/2009 04/28PM Pinnacol Assurance PAGE 2 OF 3 CERTIFICATE OF LIABILITY INSURANCE MY DATE022E/ 009Y1 PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 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 NAIL# INSURED AAA PEST PROS LLC INS URERA PINNACOL ASSURANCE 41190 INSURER B: 39 N 63RD STREET INSURER: BOULDER, CO 80308 INSURER : 0 ' INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OFINSURANCE POLICY NUMBER OATEIMM/DDIYYYY) DATEtMWDDIYYYY) UMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE To RENTED COMMERCIAL GENERAL UAHIUTY CLAIMS MACE OCCUR PREMISES MED EXP(.Any one person) PER80NALIAOVIWJRY GENLAGGRE13ATEUMITAPPUERS PER: GENERALAOGREGATE PRODUCTS - COMP/OP AGO POLICY PROTECT LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE UMIT ANYAUTO (E e.lccltlent) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS tP er person ) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS {P er e[cloent) PROPERTY DAMAGE tP er eac loerm) GARAGE LIABILITY AUTO ONLY • EA .ACCIDENT OTHER THAN EAACC ANYAUTO AUTO ONLY: AGG EICESSIUMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND X WCSTATU OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOPJPARTNERIEXECUTIVE 4095382 09/01/2008 09/01/2009 TORY LIMITS - E.LEACHACCIOENT $100,000 OFFICER/MEMSER EXCLUDED' E.LGISEASE• EA EMPLOYEE $100,000 It yes, please tlescnbe under SPECIAL PROVISION9balow E.LOISEASE • POLICY UMIT E00 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1135982 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T Attn: Purchasing Division PO BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) Angela Jones Underwriter ACORD CORPORATION 1988 02/24/2009 04:28PM Pinnacol Assurance PAGE 3 OF 3 CERTIFICATE HOLDER COPY City of Fort Collins Attn: Purchasing Division PO BOX 580 Fort Collins CO 80522 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. CERTIFICATE OF LIABILITY INSURANCE DATE(MMYY) 02/2/20094/2009 PRODUCER PINNACOL ASSURANCE - 7501 E Lowry Blvd Denver, CO 80230-7006 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 INSURERA: PINNACOL ASSURANCE 41190 AAA PEST PROS LLC 39 N 63RD STREET BOULDER, CO 80308 INSURERB: INSURER C: INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD1 POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MED EXP(Any one person) PERSONAL 8 ADV INJURY L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG HEN POLICY n PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY: AG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4095382 09/01/2008 09/01/2009 TORV LIMITS E1 EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $100,000 If yes, please describe under SPECIAL PROVISIONS below E.L DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1135982 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Attn: Purchasing Division PO BOX 580 Fort Collins CO 80522 THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Angela Jones ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY City of Fort Collins Attn: Purchasing Division PO BOX 580 Fort Collins CO 80522 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.