HomeMy WebLinkAboutAA PEST PROS - INSURANCE CERTIFICATEACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE08/09 YYY)
04 /8/09
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 INSURIRA American Safety Indemnity Company, In ._,
AAA Pest Pros, LLC -- _ "'-- -- _--
PO Box 20235
Boulder, CO 80308
GES
INSURER D:
V 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.
POLITE
_——POLICYNUMBER PD
INSR
TEIMMDDTIVE
LINE SHO MMDDYSN LIMITS
A
GENERAL LIABILITY
TP020063506
03/24/09
03/24/10
EACH OCCURRENCE
$1,000,000
-'
OAMAGE GRI[NTED ---
COMMERCIAL GENERAL LIABILITY
PREMISGS(_Eaoccurence__„
$100,000
::]CLAIMS MADE LX]OCCUR
MED EXP(Any one Person)
S5, 000
,.
PERSONAL&ADV INJURY
$ 1, 000, 000
GENFRALAGGREGATE
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OPAGG
S1,000,000
X I POLICY JECT PRO LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S
(Ea accident)
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per Person)
_
SCHEDULEDAUTOS
HIREC AUTOS
BODILY INJURY
(Per accitlent)
NON OWNED AUT OS
PROPERTY DAMAGE
$
(Per accitlenl)
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
S
ANYAUTO
OTHEHTHAN EAACC
$
--
AUTO ONLY: AGG
S
_EXCESS/UMBRELLA LIABILITY
EACHOCCURRINCE
S
_ 1 OCCUR _..� CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
S
RETENTION $
WCSTA'rU- O
WORKERS COMPENSATION AND
_ T�Ry�TS I R
EMPLOYERS' LIABILITY
11 L. EACH ACCIDENT
S
ANY PROPRIETORIPARTNERIEXFCUTIVE
OFFICEHIMEMSEMBER EXCLUEXCLUDED?
LL. DISEASE - EA EMPLOYEE
S
It yes, describe under
SPECIAL PROVISIONS belowILL.
I DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I 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.
rcorlonnre Un' rTeo r-ANCPI I ATIC N 10 nave notice for non Davment or Dremlum
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
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
PURCHASING DIVISION
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
FORT COLLINS, CO 80522
USA
ACORD 25 (2001/08) sdi tty k9 HwnU wrcrvnH I Ivry Itli
11590028
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.
ACORD 25
AAA Pest Pros, LLC
TPG20063506
COMMERCIAL GENERAL LIABILITY
CG 20 33 10 01
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.
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 0 ISO Properties, Inc., 2000 Page 1 of 1 0