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HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE (5)02/24/09 ConfirmNet —> 19702216707 Pg 1/4 Fax CITY OF FORT COLLINS TO: Fax: 1-970-221-6707 Attn: PURCHASING DIVISION AAA Pest Pros, LLC FROM: Phone: Wells Fargo of CA Ins. Services Inc. Agency: Phone: 1-415-541-7900 Subject: AAA Pest Pros, LLC - Delivery by CertificatesNow confirmnet insurance Cortificntc Experts This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, email customercare@confirmnet.com, or visit our website at www.confirmnet.com cc: The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 02/24/09 ConfirmNet -> 19702216707 Pg 2/4 ACORA. CERTIFICATE OF LIABILITY INSURANCE DATE24 /DDIYYYYI 02 //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 INSURERA'. American Safety Indemnity Company, In . AAA Pest Pros, LLC INSURERB'. PO Box 20235 INSURERC. INSURERD'. Boulder, CO 80308 INSURERS. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FORTH 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 ADDT NSRD TYPEOFINSURANCE POLICYNUMBER POLICYEFFECTIVE DATE MMIDDIYY POLICYEXPIRATION DATE(MMIDDIYYI LIMITS A GENERAL LIABILITY TPG20063505 03/24/08 03/24/09 EACH OCCURRENCE $1,000,000 'IN 111 PREMI 'El F, oCcurence $100,000 X COMMERCIAL GENERAL LIAB ILITV CLAIMSMABE OCCUR MEB EXP(Any one person) $5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER'. PRODUCTS-COMP/OPAGG $1,000,000 POLICY PRO LOC X JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Eeccinenl) $ BODILY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Pereccinenl) $ GARAGE LIABILITY AUTOONLV-EAACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY'. AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- TCHYLIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE . . ELEACH ACCIDENT $ E.L. DISEASEEAEMPLOYEE $ OFFICER/MEMBER EXCLUDDED? fyes, nescnbe under SPECIAL PROVISIONS below EL DISEASEPOLICYLIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED 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. CERTIFICATE HOLDER CANCELLATION 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) adoyle 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. ACORD 25 (2001/08) 02/24/09 ConfirmNet —> 19702216707 Pg 4/4 AAA Pest Pros, LLC TPG20063505 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: Isle] NILYiIA:Zyl_1119e]g01A:L•104/_1:]IIIV9610 /q9_1:41 A. Section II — Who Is An Insured is amended to b. "Bodily injury" or "property damage" occur - include as an insured any person or organization ring after: for whom you are performing operations when you (1) All work, including materials, parts or and such person or organization have agreed in equipment furnished in connection with writing in a contract or agreement that such per- such work, on the project (other than son or organization be added as an additional in- service, maintenance or repairs) to be sured on your policy. Such person or organization performed by or on behalf of the addi- is an additional insured only with respect to liability tional insured(s) at the site of the cov- arising out of your ongoing operations performed ered operations has been completed; or for that insured. A person's or organization's status as an insured under this endorsement ends (2) That portion of "your work" out of which when your operations for that insured are corn- the injury or damage arises has been pleted. put to its intended use by any person or B. With respect to the insurance afforded to these organization other than anothercontrac- additional insureds, the following additional exclu- for forming subcontractor engaged in per- sions apply: ng operations for a principal as a pp y part of the same project. 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 CG 20 33 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 13 02/24/2009 04:28PM Pinnacol Assurance PAGE 1 OF 3 PINNAS COL ASSURANCE Date 02/24/2009 To City of Fort Collins Fax Number 970-221-6707 From Angela 303-361-4172 Phone Number 303-361-4172 Subject Document UW135 28384858 Policy # 4095382 Total Pages 3 Notes Please contact us if you did not receive any portion of this transmission 7501 E Lowry Blvd Denver, CO 80230-7006 Phone 303-361-4000 www pinnacol com The information contained in this telecopy transmission is confidential or privileged and is intended to be for the use of the individual or entity named on this transmission sheet. If you are not the intended recipient. be aware that any disclosure. copying. distribution or use of the contents of this telecopied information is prohibited. If you have received this telecopy in error, please notify us by telephone immediately so that we can arrange for the retrieval of the original transmission. 02/24/2009 04:28PM Pinnacol Assurance PAGE 2 OF 3 ACOR '" CERTIFICATE OF LIABILITY INSURANCE °ATE(MM, 02/2,/200912009 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 NAIC# iNSUREO ENSURERA PINNACOL ASSURANCE 41190 AAA PEST PROS LLC INSURER e. 39 N 63RD STREET No,_RER BOULDER, CO 80308 INSURER D D. NBURER 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 ADD'L FOL Cy EFFECT NE FO CY EXF RATION _TR iNSRD TYPE OF, NBURANCE FO ICY NUMSER GATE,MMIDDPTYYY, DATE,MMIDDIYYrv, uMTS GENERAL LIABILITY EACn OCCURRENCE OAMAOE TO FENTEO COMMEROA_ GENERAL UAS - TY C1 MS MADE OCCUR PREMISES MED EXFN%one aevom FERSONALSADV nwRY GEM_AGGREGATE - M T AFFUERS PER GENERA -AGGREGATE PRODUCTS-COMP/OFAGO 10-CY FRWECT LOC AUTOMOBILE LIABILITY COMB'. NED 8'. NG'_E - M'.T ANYAUTO Bee" enn BODILY inwRY Al OWNED AUTOS, SCTEDULED AUTOS, Fer aevom BOOT_ Y iN_RY M RED AUTO$ NON -OWNED AUTOS, Pare, enn PROPERTY DAMAGE Peraccaenp GARAGE LIABILITY A. TO ON'_Y - EA. ACC'. DENT TTAN EAACC ANYA-TOOTTER A- TO ON-' AG EXCEHUMERELLA UABILITT EMN OCCURRENCE AGGREGATE OCCUR OJaMSMADE 0E0_CT'. B'_E RETENTION S WORKER8 COMPENSATION AND STAT_- Lj OTTER A EMPLOYER 8 LIABILITY ANY FROPRPoETORIPARTNERIEXECUTNE 4095382 09/01/2008 09/01/2009 TORY M TS E EACT ACC DENT $r00000 OFF i CER/MEMSER EXO__0E01 E n_0SEASE-EAEMI LOYEE $100000 ?yes IF ease aescr o,naerSFECA_P F GV SONS oei Ow E n_OSEASE-FOUCYUMT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESrEXCLUSIONS ADDED BY ENDORSEMENVSPECIA PROVISIONS CERTIFICATE HOLDER CANCELLATION 1135982 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Attin Purchasing DNision PO BOX 580 Fort Collins CO 80522 THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OI LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Angela Jones ACORD 25(2001108) 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.