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Home My WebLink About113664 JORDAN'S TREE MOVING & MAINTENANCE - INSURANCE CERTIFICATEOP ID: TA ,acoRo CERTIFICATE OF LIABILITY INSURANCE ITEIMM/ODolaIYYYYI DAM 12/oan 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(les) 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 Phone: 970-223-1804 CONTACT Front Range Insurance Group 1100 Haxton Drive Suite 100 Fax: Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI PHONE FAX t: ac No: EWAIL ADDRESS:PRODUCERCUSTOMER p:JORDA-2 INSURE 5 AFFORDING COVERAGE - NAIC0 INSURED Jordan's Tree INSURERA:Secura lnsurancecompanlea 22543 Moving & Maintenance, Inc INSURERS: Pinnacol Assurance 41190 1025 Smithfield Drive Fort Collins, CO 80524 INSURER C: INSURER D : INSURER 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. I�jp TYPE OF INSURANCE POLICY NUMBER MMIDDCYEFF MMDD EXP LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X Prof Liab X CPU0326@87J CP0032502873 12/19/2014 12/19/2014 12/19/2015 12119/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea omarence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECTPRO LOC PRODUCTS - COMP/OP AGO $ 2,000,00 Prof Liab $ 1,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOSBODILY SCHEDULED AUTOS NONOWNEDAUTOS X 3200288 1211912014 12/1912015 COMBINED SINGLE LIMIT (Ea amdent) $ 1,000,00 BODILY INJURY(Per person) S INJURY (Paramdent) S JX PROPERTY DAMAGEHIREDAUTO$ (Per awdent)$ $ $ UMBRELLA UM EXCESS DAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION S $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) lies, desmt,e under DESCRIPTION OF OPERATIONSdeloe NIA ' 4040725 03/10/2014 03/10/2015 X WC STATU- OTM- T RY LIMITS ER E.L. EACH ACCIDENT E 1,000,00 E. L. DISEASE -EA EMPLOYE $ 1,000,00 E.L. DISEASE-POLICYLI MIT S 1,000,00 A Equipment Floater 34UUNSR3887 12/19/2014 12/1912015 Leased 250,00 Ded 50 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /Attach ACORD 101, Additional Remarks Schedule, H more space Is required) The City of Fort Collins, its officers, agents and employees are named as additional insured with regards to general and auto Liability. CITY OF City of Fort Collins Puchasing Dept. PO Box 580 Fort Collins, CO 8DS22 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORU:ED REPRESENTATIVE © 1988.2009 ACORD CORPORATION. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD