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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