HomeMy WebLinkAbout276712 FINE TREE SERVICE INC - INSURANCE CERTIFICATEACrand' CERTIFICATE OF LIABILITY INSURANCE
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7/3/20i3
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: It the Certificate holder is an ADDITIONAL INSURED, the polley(ios) 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 eartitcate does not confer rights to the
certificate holder in lieu of such endorsements).
PRODUCER
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
Port Collins CO 80526
CONTACT Matt ➢iemer
PHONE (970)223-0924 SNP. rsTol:ST•un
E-ID aaEsa,;
INSURE0.3 4FFOROING COVERAGE
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INSURED (�
Fine Tree Ssrvice Inc. I {V�
3060 Lake Canal Ct
Fort Collins CO 80524
INSURER BkInnaCOS ABBUranCe
91190
INSURER C:
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INSURER F:
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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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR
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POLICY NUMBER
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UMff$
11AeILlN
S 1.000, 000
QAhl�elumGENERAL
PPEIVISESEACHOCCURRENCE _
-" g 100,000
Ed.Ctd!7Uffi:8:�_.
MEO EXP (Any Pee Par:onl S 51000
A
X CCMMERCIALGENERALLwSILITY
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/5/2013
1
ji/5/2014
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PERSONAL S AOV INJURY S 11000,000
GENERAL AOORE(KTE IS 2,000,000
I
GEM AGGREGATE UNIT APPLES eERI
PRCDUCT$. C'ONP�DP AGG I S 2,000,ODO
X POL'LY PRO- .oc
IFCT
S
AUTOMOBILE LIABILITY
CCM2vRC S107TEM-7—
Ea aomdmr 1,000,000
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ANY AUTO
AALL UTOS RJEO SCHEDULED
X MRED AL?OS % NONp:JNEO
AUTO$
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1
31CP01770
/5J2013
/5/7014
OOOILY INJURY iPsrpamon) S
BODILY INXRY SPw Kdcav} 5
PRORE TY DAMAGE 5
Perac:Jder1
UrinsVmd mem:'stomeinoo S 500 000
UMaRELLA LIAB
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EACHCCCURRENCE S
AGGREGATE S
EXCESS LtAe
CLIVASAIACE
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s
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WORKMSCOMPENSATION
X 1NC STA.TLI- OTH.'I
AND EMPLOYERS'LIABIUTI' YIN
ANY PRGFRIETDFIPARTNER,EXECVTIYE
OFIICeW-e1EER EXCWCE]l
(Mandawrym NH)
DESCRdIeFT.ION OF OPERATIONS tRM
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/3/7013
/1/2014
EL.EACH ACCIDENT$ 100QQQ
E. L. DISEASE - EA E-AP-9fE9 100,000
E.L. DISEASE-PO_ICY LIMITS 500,000
DESCRIPTIONOFOPEPA7IONSILOCA71ONSIVEHICLE$ (Atlaeh ACORD 101AddftlOaal Remnla$p+mme,lf mom&pace is mqumadJ
Certificate holder is listed BB Additional Insured on the General Liability only - as required by written
Contract.
(970)221-6707
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
ACORD 25 (2010105)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE MALL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHQRVXP REPRESENTATIVE
Avery/MDPC
ACORD CORPORATION_ All riahm
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