HomeMy WebLinkAbout121309 FOOTHILLS TREE EXPERTS INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY
INSURANCE
DATE(MNVDDIYYYYI
01/10/2012
PRODUCER (970) 377-0638 -
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Squires Insurance Solutions LLC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4025 Automation Way
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bldg B, Suite 4
Fort Collins CO 80525-
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURERA:Hartford Fire Insurance
INSURERS: Sentinel Insurance Co Ltd
Foothills Tree Experts Inc.
INSURERCPinnacol Assurance
3600 Canadian Parkway
INSURER D'.
INSURER E:
Fort Collins CO 80524-
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ISI R
LT
DD'LNSRD
TYPEOF INSURANCE
POLICY NUMBER
DOATE(MMIDINTY
POLICY
I MPDDIYIYIN
LIMITS
A
X
GENERALLIABIDTY
34 IIDN QY8384
06/15/2011
06/15/2012
EACH OCCURRENCE
$ 11000.000
X COMMERCIAL GENERAL LIABILITY
CLNMSMADE OCCUR
/ /
/ /
DAMAGETO RENTED
PREMISES Ea ecoarrence
$ 100, 000
WED END (My are person)
$ 5,000
PERSONAL S ADV INJURY
$ 1.000,000
GENERAL AG GREGATE
$ 2,000,000
/ /
/ /
GEN'L AGG RELATE LIMIT APPLIES PER.
PRODUCTS COMP/OP AGO
S 2,000,000
PRO-M LOC
POLICY f7JECT
/ /
/ /
NOWND
B
X
AUTOMOBILE
X
LIABILITY
ANYAUTO
34 IIDN QY8384
06/15/2011
06/15/2012
COMBINED SINGLE LIMIT
(Ea cadent)
$ 11000,000
ALL OWNED AUTOS
SCH FOULED AUTOS
/ /
I I
BODILY INJU RY
(Per person)
$
HIRED AUTOS
NON OWNED AUTOS
/ /
/ /
BODILY INJURY
jPer aca Genl)
$
PROPERTYDAMAGE
(Peracadep0
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
/ /
/ /
OTHERTHAN EA ACC
$
$
AUTO ONLY: AGO
A
X
EXCESS'UMBRELLA LIABILITY
_X1 OCCUR CLAIMS MADE
34 HBO QY8E29
08/29/2011
06/15/2012
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
$
DEDUCTIBLE
/ /
/ /
$
X RETENTION $ 10, 000
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4080571
05/01/2011
05/01/2012
X I tORYDMITS11 11 OER
E.L. EACH ACCIDENT Is
500,000
ANY PROM IETORIPARTN ERIEXEMINVE
OFFICERIMEMBER EXCLUDED?
Tyre, deserr be under
/ /
E.L.DISEASE EAEMPLOYEE$
500,000
EL. DISEASE -POLICY LIMB Is
500,000
SPECIAL PROVISIONS below
A
OTHER PROP
34 = QY8384
06/15/2011
06/15/2012
aussa 50,000
DESCRIPTION OF OPERATION&LOCATIONSMEHICLESIEXCLUSIONS ADDED BY ENDORSEMEN (SPECIAL PROVISIONS
Tree trimming operations. Certificate Holder is listed as Additional Ensured on the policy as required by written
Contract or permit as per policy farms and conditions.
John Stevens
City of Fort Collins
Forestry Division
413 South Bryan Ave
AL,UKU ZO (LULDILB(
INS025 (Dloe).os
970) 221-9707 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER MALL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTOTHE LEFT,BUT
FAILURE TO DO SO SHALL IMPOSE NO OSUGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE _
524-
D ACORD CORPORATION 1989
Page 1 d2