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414759 SWINGLE LAWN, TREE AND LANDSCAPE CARE - INSURANCE CERTIFICATE
,acoRDI CERTIFICATE OF LIABILITY INSURANCE DATE (MMID(NYYYY) 10 11 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 CO NTACT NAME: AICNNo Eat: - - soo FAX AIL No: 3- 1- — Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 E-MAIL ADDRESS:COntGt925�v$-�.COM INSURERLS) AFFORDING COVERAGE NAICN INSURER A:pinnaQQJ Assurance INSURED INSURER B: INSURER C: Swingle, Inc.; Swingle Lawn, Tree and INSURERD: Landscape Care; Arborworks By Swingle 8585 E. Warren Avenue Denver CO 80231 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1110894847 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP (MMIDDiYYYYl LIMITS GENERAL LIABILITY COM MERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR „✓r� EACH OCCURRENCE DAMAGE TO R F PREMISES LEaoccurronce $ .'. MED EXP (Any one person) $ V .) PERSONAL 8 AOV INJURY'S{` �) (GENERAL AGGREGATE ` A GEN'LAGGREG7JLE1MRAPPLIESPER: POLICY PRO- LOCCT PRODUCTS COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NON-0WNED HIRED AUTOiy AUTOS 11 11 x t' "1`1" Ea a.. dent 1 , 06,LY INJURY (Per person):i RODILV INJURY{P racc dent) $ PROPERTY DAMAGE Per accident) $ $ a - UMBRELLAUA LB JN EXCESS IIAE ., 45,: � OCCUR i f CLAIMS MADEf { •� ` \ w: V �� � 1 y i EACH OCCURRENCE I $ AGGREGATE Is ...'DED RETEf NTION$. `:� I Is pI 1. f4tx WORKERS COMPENSATION"':', ,, ' A AN DEMPLOYERSABIDTY Y/Ns ANY PROPRIETOR/PARTNERIE ECUVVE OFFICERIMEMBERa EXCLUDEDT c , (ManCatorY;in NH),. y fy c,ra69cribc uAder DESCRIPTION O'FOy�P.ERATIONS below \.. NIA "far I4633574 1 10/1/2011 0/11/2011 X TWOCRy TATU- IOEH- $5,000 Ded E.L. EACHACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 EL.DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES IAnach 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 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD