HomeMy WebLinkAbout414759 SWINGLE LAWN TREE & LANDSCAPE CARE - INSURANCE CERTIFICATE (9),acoRO® CERTIFICATE OF LIABILITY INSURANCE
DP6 IMMIDD YYYY)
9 26 2011
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 endorsements .
PRODUCER
CONTA
NAME:
Van Gilder Insurance Corp.
PHONE FA%
E pNo.e.t):800-837- AIC No:303=83_l 2
1515 Wynkoop, Suite 200
Denver CO 80202
ADDRESS: ntraCt_Qrs2vai,_r_._CQm
INSURERS AFFORDING COVERAGE NAIL ii
INSURER A:
INSURED �� w�
INSURER B
INSURER D:
Swingle, Inc.; Swingle Lawn, Tree and
Landscape Care; Arborworks By Swingle
INSURER D:
8585 E. Warren Avenue
Denver CO 80231
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1783409791 REVISION 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.
INSR ADDLISUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR UBI POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
PREMISES Eaoccurrence
$
CLAIMS -MADE OCCUR
MED EXP (Any one person)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE
LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
IS
POLICY
PRO- r LOC
_FQTAUTOMOBILE
$
LIABILITY
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YINLM1T$
4033574
10/1/2011
X WC STATU- OTH-
T RV E
$5,000 Ded
E.L. EACH ACCIDENT
$500, 000
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICEMMEMBER EXCLUDED? No
N/A
�0/1/2012
EL DISEASE -EA EMPLOYE
E500, 000
(MYandatory in NH)
under
If DESCRIPTION OF OPERATIONS below
E.L. DISEAGE -tre
POLICY LIMIT
$500, 000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
A Blanket waiver of subrogation applies to workers compensation, as required by written contract.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing
PO BOX 580 AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 A ,` — _
nt4RR_DMnArnDnrnDOnDATInM All --in—Al
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
ACOR" CERTIFICATE OF LIABILITY INSURANCE
GATE (MMIDD YYYY)
9 26 2011
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 endorsements .
PRODUCER
CONTACT
NAME:
PHONE FAX
INC.No Evt: - - All C Nol: - 1- 2 5
Van Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
EWAIL
ADDRESS: n vaic, com
INSURERS AFFORDING COVERAGE
NAIL k
INSURERA:
INSURED
INSURER B :
INSURER C:
Swingle, Inc.; Swingle Lawn, Tree and
INSURER D:
Landscape Care; Arborworks By Swingle
8585 E. Warren Avenue
Denver CO 80231
INSURER E:
INSURER F :
COVERAGES - CERTIFICATE NUMBER: 51187840 REVISION 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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY E%P
LTR INSR WVD POLICY NUMBER MMIDDIYYYYJ (MM/DD1YYYYl LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
DAMA ETORENTED
COMMERCIAL GENERAL LIABILITY
PREMISES Ea occurrence
$
CLAIMS -MADE F—IOCCUR
VIED EXP (Any one person)
$
PERSONAL It ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$
POLICY F� PRO n LOC
1
1
$
AUTOMOBILE
LIABILITY
Ea accident
BODILY INJURY (Per person)
$
ANY AUTO
ALL OSCHEDULED
AUUTOSS AUTOS
BODILY INJURY (Per amident)
$
PROPERTY DAMAGE
Per accident
$
NON-0WNED
HIRED AUTOS AUTOS
E
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
E
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOVERS'LIABILITY YINLIMITS
14033574
% IWCR STATU- OTTHH-
$5.000 Ded
E.L. EACH ACCIDENT
E500000
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED]
NIA
�0/1/2011
�0/1/2012
E.L. DISEASE - EA EMPLOYE
$500,, 000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT 1
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Fort Cllins
PO Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
n 1988-2010 ACORD CORPORATION All rinhfe
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD