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Home My WebLink AboutKINCAID TREE SURGERY CO - INSURANCE CERTIFICATEUP IU: KH ,a►41CoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2013Y) 11 /20/013 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 PFS insurance Group -JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80634 Tad Borrett CONTACT NAME: PHONE FAX ro No Exh, JAIC, No): _ E-MAIL ADDRESS:PR DUCER eUSTOMER lo s, KINCA-1 INSURER(S) AFFORDING COVERAGB NAICS INsusso--i Kincaid Tree Surgery Co.650108 INSURER A:Pinnacol Assurance 41190 & Gree By Spray — INSURER a: Hartford Insurance Com n -A 2942A P. O. Box 757 Ft. Collins, CO 80522 INSURERC: NSUItER D: NSURER E: INSURER F : 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER MWDO/YYYY MMPOLICY /D/YYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X Pesticide 34UUNSR2865 12/01/2013 12/01/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Es=urrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL& ADV INJURY $ 1,000,0001 GENERAL. AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS-COMP/OP AGO S 2,000,00 $ B AUTOMOBILE LIABILITY MY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UUNSR2865 12/0112013 12/01/2014 COMBINED SINGLE LIMIT (Es student) $ 1,000, OOHO X BODILY INJURY (Per peon) S BODILY INJURY (Per accidem) S X PROPERTY DAMAGE (PERACCIDENT) $ X S s 9 X UMBRELLA LUIB EXCESSLIAB X OCCUR CLAIMS -MADE 34HHUSR4928 12/01/2013 12N1/2014 EACH OCCURRENCE S 1,000,00 AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION S 10000 S X S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE/MYI❑NN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, descritm under DESCRIPTION OF OPERATIONS below N/A 343512 10/01@013 10/01/2014 X WC STATU- 1 OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYE S 1,000,00 E.L. DISEASE -POLICY LIMIT S 1,000,00 B B Physical Damage Business Personal 34UUNSR2865 34UUNSR2865 12/01/2013 12/01/2013 12/01/2014 12/01/2014 Coll/comp 50 BPP 30,30 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ANaoh ACORD 1e1, Additional Remarks Sol.dNls, If mo,s spaoa Is.,Hlrad) CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Forestry P.O. BOX 580 AUTHORIZED REPRESENTATIVE 215 N. Mason 3rd Floor Ft Cnllins CO R0522-05R0 U 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD