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HomeMy WebLinkAboutROCKY MOUNTAIN TREE SERVICE - INSURANCE CERTIFICATE (2)!� KM I RE-1 UP IU: PL 4�oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM1I04/201 YY) 12013 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 endorsement(s). PRODUCER PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts INSURED Rocky Mountain Tree Service Mark Berard PO Box 1334 Loveland, CO 80539 COVERAGES CERTIFICATE NUMBER: 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, I�TR TYPE OF INSURANCE A POLICY NUMBER Mb011LU0DY EFF MW �NICY YYY LIMITS A GENERAL LIABIUrY X COMMERCIAL GENERAL LIABILITY CLAIMS44ADE I —XI OCCUR X 2510004220 10/30/2013 10/30/2014 EACH OCCURRENCE S 1,000,00 PREMISES(Ea ocns imce S 100,00 MEDEXP(Any anspaaon) $ 1,00 PERSONAL B ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: F7 PRO LOC PRODUCTS -COMPIOP AGO $ InCIMdB S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS AU73wrD AUTOS 0 COMBINED SINGLE LIMIT Ea scoieem BODILY INJURY (Per pmson) $ BODILY INJURY (Per aackleM) S PEACIMGE RPCDEHIRED $ i UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION S WORKERS COMPENSATON AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORFARTNER/EXECUTNE OFFICERIMEMBER EXCLUDED? ❑ (MaMalory in NH) R yyaa deowbeun 8r ESCRIPTION OF OPERATIONS ealaw N/A WC s-FATU- OTN• TO LIMTS ER E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddKiunal Remarks schedule, IF mom space is required) Tree Trimming and service CERTIFICATE HOLDER CANCELLATION CITYOFF 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 Attn: Jim Buchanan AUTHORIZEDREPRESENTATIVE Box 580/215 N. Mason 3rd FI Ft Collins, CO 80522 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD