HomeMy WebLinkAbout131966 TRUGREEN LTD PARTNERSHIP - INSURANCE CERTIFICATE1 e
AFRO CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD/YYYY)
1P/D9rz011
I
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 endomement(s).
PRODUCER
Aon Risk services Central, Inc. -
Chicago IL office
CONTACT
NAME:
PHONE (866) 283-7122 FAX (847) 953-5390
INC. No. Est): NC. No.:
200 East Randolph
Chicago IL 60601 USA
EWAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURED (�
INSURER A, Zurich American Ins CO
16535
''y1 I
TruGreen Limited Partnership /
860 Ridge Lake Boulevard
INSURER B: American Zurich Ins CD
40142
INSURER C:
Memphis TN 38120-9434 USA
INSURER D:
INSURER E:
NSURER F:
L UVtK/ALdtS ULKI IEIUAIt NUMbtK: WUU94IO41000 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. Limits shown are as requested
INSR
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
MMIDD
MAVD
LIMITS
A
GENERAL LIABILITY
GLO
1 1 1
1 1
EACH OCCURRENCE
$3,000,000
% COMMERCIAL GENERAL LIABILITY
PREMISES Ea occuoence
11,000, 000
CLAIMS IMAGE %❑OCCUR
MED UP (Any one person)
$5,000
X Contractual Liability
PERSONAL a ADV INJURY
$3.000,000
X
Pesticide or Herbade Applicator Cov
GENERAL AGGREGATE
$5,000,000
GEN'L AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS-COMPIOP AGG
Included
-XI POLICY
PRO El
LOC
A
AUTOMOBILE LIABILITY
BAP 2938657-05
0110112012
0110112015
COMBINED SINGLE LIMIT
Its actiden
E5,000, 000
BODILY INJURY( Per person)
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X HIREDAUTOS X NONOWNEDPROPERTY
AUTOS
BODILY INJURY (Re, acadent)
DAMAGE
Per accident
UMBRELLALIr1B
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
DED RETENTION
B
A
EWORKERS MPLOYER COMPPEEINSSAATION AND YIN
ANY PROPRIETOR/ PARTNER I EXEC""E.
OFF ICEWMEMBER EXCWDEDi
NIA
WC293865405
wC293865505
01/01/2012
Ol/Ol/2012
01/01/2015
Ol/Ol/2015
X TO LIMITS OTH-
L EACH ACCIDENT
$1,000,000
E. L. DISEASE -EA EMPLOYEE
$1,000.000
(Mandatoryin NH)
wI
ntler
Dye describunder
ESCRIPTION below
EL.OPERATIONB POLICY LIMIT
EL. DISEASE -
$1,000,000,
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AIII ACORD 101, Additional Remarks Schedule, if mare space Is required)
Re: Trugreen, LP Branch# 5603. CITY OF FT COLLINS is included as Additional Insured under the General Liability and Automobile
Liability policies if required by written contract. waiver of subrogation applies to the General Liability, Automobile
Liability and workers Compensation policies if required by written contract with CITY OF FT COLLINS.
i
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE
POLICY PROVISIONS.
CITY OF FT COLLINS
PO BOX 580
AUTHORIZED REPRESENTATIVE
FT COLLINS CO 80522 USA
/� o
r� ✓LlcYC �Ift(It�d �RR� i�ftGt
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
"% �® CERTIFICATE OF LIABILITY INSURANCE
DnrE(Mwppm l
2109R011
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 endomement(s).
PRODUCER
AOn Risk Services Central, Inc.
Chicago IL Office
CONTACT
NAME:
PHONE (866) 283-2122 Frix (84T) 953-5390
INC. No. Ext):INC. No.:
200 East Randolph
Chicago IL 60601 USA
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL #
INSURED
INSURERA Zurich American Ins CO
16535
TrUGreen Limited Partnership
860 Ridge Lake Boulevard
INSURER B: American 2UrlCh Ins CO
40142
INSURER C:
Memphis IN 38120-9434 USA
ISURER D : :SURER
E:
INSURER F:
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. Limits shown are as requested
LTR
TYPE OF INSURANCE
INSR
MD
POLICY NUMBER
MMVDDrYfYYI
MWDDrYYYY1
LIMITS
A
GENERAL LIABILITY
GLO
1 1
EACHOCCURRENCE
$3,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES Ea o=nenne
$1, 000, 000
CLAIMS -MADE ❑X OCCUR
MED EXP(Anyone person)
$5,000
X ConneXuel Liability
PERSONAL B ADV INJURY
$3,000,006
X
Pesticide or Herbicide Applicator Cm
GENERALAGGREGATE
$5,000,000
GENL AGGREGATE LIMIT APPLIES
PER.
PRODUCTS - COLPIOP AGG
Included
% POLICY F PUS'LOC
A
AUTOMOBILE LIABILITY
BAP 2938657-05
0101 26120101
2015
COMBINED SINGLE LIMB
Ea enl
$5 r000r DDO
BODILY INJURY ( Per Perini)
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AIRO$
% HIRED AUTOS X NON -OWNED
AUTOS
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Parecddent
UMBRELLA LIM
OCCUR
EACH OCCURRENCE
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
DED
RETENTION
B
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERI E%ECIRIVE
OFFICEWMEMBER EXCLUDED? N
NIA
WC293865405
ADS
WC293865505
01/01/2012
01/01/2012
011011201$
01/01/2015
WC STATU- DIN -
X TORY LIMITS R
E.L EACH ACCIDENT
$1, DOO, DDO
E.L. DISEASE -EA EMPLOYEE
$1,000,000
(Mandator, in NH)
wI
Has, deser"under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$I,0DDr000
DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES IAHactr ACORD 101, Mtlltbnel Renurks ScNMu4, ll mere apam m required)
Re: TrUgreen, LP Branch# 5603. CITY OF FORT COLLINS is included as Additional Insured under the General Liability and
Automobile Liability policies if required by written contract. waiver of Subrogation applies to the General Liability,
Automobile Liability and workers Compensation policies if required by written contract with CITY OF FORT COLLINS.
CERTIFICATE HOLDER CANCELLATION
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 AUTHORIZED REPRESENTATIVE
215 N MASON ST
FT COLLINS CO 80522 USA aV. ` -- ,
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
O