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Home My WebLink AboutTHE BRICKMAN GROUP LTD - INSURANCE CERTIFICATEAC"REIrCERTIFICATE OF LIABILITY INSURANCE page 1 of 1 06/130/ o 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER - Willis of Pennsylvania, Inc. 26 Century Blvd. CONTACT NAM PHONNE 877-945-7378 FAX Non 888-467-2378 P. 0. Box 305191 Nashville, IN 37230-5191 E-MAIL ADDRESS certificates®willis.com INSURER(S)AFFORDING COVERAGE NAIC9 INSURER A: ACE American Insurance Company 22667-006 INSURED The Brickman Group, Ltd. LLC INSURER B: Zurich American Insurance Company 16535-005 INSURERC Indemnity Insurance Company of North Amer 43575-001 18227-D Flower Hill way Gaithersburg, MD 20879 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 1619B73R nrlael0N NUMBER. THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IUTR NSR TyPEOFINSURANCE %DD' SUB 11 POLICY NUMBER POLICY ERE 7/1/2011 POLICY EXP LIMITS A GENERALLIABILMY XSLG25530780 7/1/2012 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Eaoccur nce $ 2 000 000 X COMMERCIAL GENERAL LIABILITY VIED EXP(My one person) $ CLAIMS-MADEFx_1OCCUR PE RSONAL B ADV INJURY S 2,000,000 X Conti. Prof. Liab. X Pesticides & Herbiee GENERAL AGGREGATE S 15,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 4 000 000 X POLICY D PRo- LOC $ A AUTOMOBILE LIABILITY ISAH0663600A 7/1/2011 7/1/2012 COMBINED INGLE LIMIT $ 2,000,000 X BODILY INJURY(Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON -OWNED PR PERTV DAMA AUTOS Per accident $ H X UMBRELLA DAB N OCCUR AUC508596807 7/1/2011 7/1/2012 EACH OCCURRENCE S 51000,000 AGGREGATE S 51010,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION$ ,010,000 S C WORKERS COMPENSATION WLRC4682414 7/1/2011 7/1/2012 TH- Y IMI X PEACH ANDEMPLOYERS'LIABILDY Y/N EL EACH ACCIDENT S 11000,000 ANY PROPRIETORIPARTNERIEXECUTIVEO OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE -EA EMPLOYEE $ 1,000,000 jMandatoryin NH) I yes, describe antler EL. DISEASE -POLICY LIMIT Is 1, 000, 000 DESCRIPTION OF OPERATIONS below A ISAH0863600A 7/1/2011 7/1/2012 Auto Physical Damage Actual Cash Value Lees $1,000 All Owned and Leased Deductible Comp. E Coll. DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Afard 101, Additonel Remarks Schedule, if more space is required) Re:Old Town Square Irrigation System Project #6084. The City of Fort Collins and Downtown Development Authority are named as Additional Insureds with regards to General Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS PURCHASING DIVISION 215 NORTH MASON STREET 2ND FLOOR FORT COLLINS, CO 60524-4402 :3407300 Tpl:1284591 Cert:16198738 01988-2010 ACORD CORPORATION. All rights Al Uriu zo IZUIU/UO) I he ACCORD name and logo are registered marks of ACORD NOTICE TO OTHERS ENDORSEMENT — SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE Named Insured Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement to Issued By (Name of Insurance Company) I nsen the policy number. The remaiwe, of the inlonoation is to De completed oNy when this emromemem is issuer sub a ueM to the pmpaction of the . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons organizations listed in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in the endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our _ agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32686 (01A1) Page 1 of 1 WILLIS CANCELLATION NOTICE The Brickman Group, Ltd. LLC 18227-D Flower Hill WayOGaithersburg, MD 20879❑ I See Page 1 EFFECTIVE DATE SEE PAGE 1 Holder Name: CITY OF FORT COLLINS PURCHASING DIVISION 215 NORTH MASON STREET 2ND FLOOR FORT COLLINS, CO 80524-4402 Cancellation Terms: IN ADDITION TO THE NOTICE PROVISIONS IN THE POLICY, WILLIS HAS AGREED WITH THE CARRIER THAT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WILLIS WILL SEND WRITTEN NOTICE TO THE CERTIFICATE HOLDER WITHIN 30 DAYS EXCEPT FOR NONPAYMENT OF PREMIUM. WILLIS WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Cancellation Terms Apply to the Following Coverages: General Liability and Automobile Liability Willis 102