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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