HomeMy WebLinkAbout414759 SWINGLE LAWN TREE & LANDSCAPE CARE - INSURANCE CERTIFICATE (4)ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYI
PRODUCER
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
Denver CO 80203
INSURED
>wingle, Inc.; Swingle Lawn, Tree and
Landscape Care; Arborworks By Swingle
3585 E. Warren Avenue
)enver CO 80231
111l11lr1 A:I_lct�.
THIS CERTIFICATE IS ISSUED AS A
ONLY AND CONFERS NO RIGHTS
HOLDER. THIS CERTIFICATE DOES
ALTER THE COVERAGE AFFORDED
INSURER A'
INSURERS
INSURER C'
INSURER D:
INSURERS AFFORDING COVERAGE
CERTIFICATE
HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
ERTIFICATE 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 TYPE OF INSURANCE POLICY NUMBER MIDDNYI POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A
GENERAL LIABILITY
6306299L758PHX09
10/1/2009
10/1/2010
EACH OCCURRENCE
$1, QQQ _QQQ
X COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE(Anyone Grey_
$300,000
—J CLAIMS MADE [OCCUR
MED EXP(Anyone person)
$10,000_ _
PERSONAL& ADV INJURY__
$J Q0Q1000
GENERAL AGGREGATE
$5 _OLD, _0 0 0 ..
GEN L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
I $ 2 , O O O_,_000,
POLICY X PRO- LOC
—�
A
AUTOMOBILE
LIABILITY
8106299L758TIA09
10/1/2009
10/1/2010
COMBINED SINGLE LIMIT
$1, 000, 000
X
ANY AUTO
Be accident)
ALL OWNED AUTOS
BODILYINJURY
$
SCHEDULED AUTOS
(Perrperson)
X
HIRED AUTOS
BODILVINJURY
$
X
NON -OWNED AUTOS
(Per eccitlenQ
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EAACC
S
AUTO ONLY: ASS
S
A
EXCESS LIABILITYj
CUP6299L758IND09
10/1/2009
10/1/2010
EACH OCCURRENCE
$2 QQQ, QQQ
I
x] OCCUR CLAIMS MADE
_J _
I
AGGREGATE
$2 QQO_,_ 00
DEDUCTIBLE
X RETENTION $10QQQ
$
B
WORKERS COMPENSATION AND
4033574
10/1/2009
10/1/2010
X__T49Y_LIMITS.____OR
EMPLOYERS' LIABILITY
_
-""'----------
I_.._—.__
E.L.EACHACCIDENT
__—___
$500 Q00
E.L. DISEASE -EA EMPLOYEE
$5Q0, QQQ_.__—_
E.L. DISEASE -POLICY LIMIT
$500 000
A
OTHER
6306299L758PHX09
10/1/2009
10/1/2010
$1,000, 000 Limit
Herbicide & Pesticide
pplicator Coverage
Claims Made
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
s required by written contract or written agreement, the General Liability includes Blanket Additional Insured
Endorsement. As required by written contract or written agreement, Blanket Waivers of Subrogation apply to the General
Liability and Workers Compensation.
s required by written contract or agreement, the City of Fort Collins is included as Additional Insured.
City of Fort Collins
Purchasing
PO Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
3EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
4ILL MAIL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
]ERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO ➢O SO
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
PHE INSURER, ITS AGENTS OR REPRESENTATIVES. *EXCEPT 10 DAYS
40TICE OF CANCELLATION FOR _NON-PAYMENT OF PREMIUM.
AUTHORIZED REPRESENTATIVE A/ III/ t' /A
ACORD 25-S (7/97)
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.