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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.