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HomeMy WebLinkAbout131966 RUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE�1 ® "vRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 22a 2D,A 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 Aon Risk Services Central, Inc. Chicago It Office CONTACT NAME: INC. No. Ell: (866) 283-7122 FAX No.):800-363-0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURER A: National union Fire Ins Co of Pittsburgh 19445 TruGreen Limited Partnership 860 Ridge Lake Boulevard Memphis TN 38120-9434 USA INSURER B: Commerce & Industry Ins Co 19410 INSURER C: New Hampshire Ins Co 23841 MSURERD: The Insurance Co of the State Of PA 19429 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570056305607 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD MD POLICY NUMBER MMMIDYYYY1 'NIIII)DINNNY1 LIMITS B X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $3,000,000 CLAIMS -MADE x�OCCUR SIR applies per policy terns & condi ions PREMISES Ea odourrence $3,000,000 X MED UP (Any one Person) S5,000 Pesticide or Herbicide Applicator Cm X Cormadeil Liability PERSONAL& ADV INJURY $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $5,000, 000 % POLICY ❑PET EILOC PRODUCTS-COMP/OP AGO $3,000,000 OTHER: A AUTOMOBILE LIABILITY CA 487-56-59 ADS 01/01/201501/01/2016 COMBINED SINGLE LIMIT dacddeM $5,000,000 BODILY INJURY ( Per person) A X ANY AUTO CA 487-56-60 O1/O1/201501/01/2016 BODILY INJURY (Per amdent) ALLOWNED SCHEDULED VA A AUTOS AUTOS CA 487-56-61 Ol/Ol/ZO1501/01/2016 PROPERTY DAMAGE HIRED AUTOS NON -OWNED AUTOS MA Per sediment UMBRELLA LIMB EACH OCCURRENCE AGGREGATE EXCESS LIAR HOCCUR CLAIMS -MADE DED RETENTION C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR(PARTNER)EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NM) N/A WC011953152 ADS SIR applies per policy terns 0101201501012016 & COndl IOOs X PER OTH- STATUTE R E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 11 Yee, deaenCe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1;000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD iOl, AddNonal Remarks Schedule, may be attached M more space is repuired) RE: TruGreen Limited Partnership - Branch NO. 5603. City of Fort Collins is included as Additional insured under the General Liability and Automobile Liability policies if required by written contract. waiver of Subrogation applies to the General Liability, Automobile Liability and workers' Compensation policies if required by written contract with City Of Fort Collins. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE 300 Laporte Ave. Fort Collins CO 8OS21 USA Jv� l _ "41 �i r b 0 en O O N O 2 d A Y e U ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000023893 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMEDINSURED TrUGreen Limited Partnership POLICY NUMBER see certificate Number: 570056305607 CARRIER See Certificate Number: 570056305607 NAIC CODE EFFECTIVE DATE: 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate forth for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSR SUER wVD POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/ NYV POLICY EXPIRATION DATE MM/DD/Yl'1'1' LIMITS WORKERS COMPENSATION C N/A WC011953153 IL, KY, NC, NH, UT, VT SIR applies per policy to 01/01/2015 ms & Condit% 01/01/2016 ns C N/A WC011953154 GA, VA SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A wc011953155 Nl, PA SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A WC011953156 CA SIR applies per policy tei 01 O1 0015 ms & conditi 01/01/2016 ns C N/A wcOI1953157 FL SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 D N/A wc011953159 MA SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A WC011953160 ND, ON, WA, WI, WY SIR applies per policy to 01/01/2015 Ins & conditi 01/01/2016 ns C N/A wCO11953158 ME SIR applies per policy to ms & conditi 16 ns ACORD 101 (2008101) ® 2008 ACORD CORPORATION. All dghh reserved. The ACORD name and logo are registered marks of ACORD -1 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYI'Y) 223I2014 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 pollcy(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 endoreement(s). PRODUCER AOn Risk Services Central, Inc. Chicago IL office CONTACT NAME: PHONE (866) 283-7122 FAX 800-363-0105 (AIL. No. Ea): AIc. No.: E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 TruGreen Limited Partnershi0 860 Ridge Lake Boulevard Memphis TN 38120-9434 USA INSURER a: Commerce & Industry Ins Co 19410 INSURER C: New Hampshire Ins Co 23841 INSURER D: The Insurance CO of the State Of PA 19429 NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570056289058 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. Limits shown am as requested LTR TYPE OF INSURANCE INSD MO POLICY NUMBER MM013 MMIDDnINY LIMITS B X COMMERCIALGENERALLIABILITY GL EACH OCCURRENCE $3,000,000 CIAIMSMADE X❑ OCCUR SIR applies per policy terns & COndi ions A N PREMISES (Ea orwnenw S3,000,000 X MED EXP(Any one person) $5,000 Pesbdde or Hemidde Applicator CM X Connadual Liability PERSONAL &ADV INJURY $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S5,000,000 X POLICY ❑JET 0LOC PRODUCTS -COMPIOP AGG S3,000,000 OTHER: A AUTOMOBILE LIABILITY - CA 487-56-59 ADS 01/01/201501/0112016 COMBINED SINGLE LIMIT Ea accident $5,000, 000 BODILY INJURY( Per person) A X ANY AUTO CA 487-56-60 01/01/201501/01/2016 BODILY INJURY (Per acdden0 ALLOWNED SCHEDULED VA A AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS CA 487-56-61 MA 01/01/2015 01/01/2016 PROPERTY DAMAGE Peraaidenl UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR H CLAIMS -MADE AGGREGATE DEO RETENTION C WORKERS EMPLOYERSOLIABILITY CMPENSATION AND YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory, in NH) NIA AC0011953152 SIR applies per policy terns 01/01/201$ & condi 01/01/2016 ions X STATUTE OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, d emloe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addklonel R.I.M. Schedule, maybe aeaoMd if morespace is regoi ed) Re: TrUgreen, LP Branch# 5603. CITY OF FT COLLINS is included as Additional Insured under the General Liability and Automobile Liability policies if required by written contract. waiver of Subrogation applies to the General Liability, Automobile Liability and workers Compensation policies if required by written contract with CITY OF FT COLLINS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FT COLLINS PO BOX 580 AUTHORIZED REPRESENTATIVE FT COLLINS CO 80522 USA WOf1 ✓LIATG t//L6tECd �8� V faG1 L n m n 0 n n 0 Z m Lmi Y m U ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000023893 LOC #: ADDITIONAL REMARKS SCHEDULE cage _ of _ AGENCY NAMEDINSURED AGO Risk services Central, Inc. TruGreen Limited Partnership POLICY NUMBER See Certificate Number: 570056289058 CARRIER NAIC CODE See Certificate Number: 570056289058 EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER ' POLICY EFFECTIVE DATE MM/DD/\l'\'Y POLICY ESPIRATION DATE MMn1DM'YY LMITS WORKERS COMPENSATION C N/A wcOI1953153 IL, KY, INC, NH, UT, VT SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A WC011953154 GA, VA SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A wcO11953155 NI, PA SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A wCO11953156 CA SIR applies per policy to 0110112015 ms & conditions 01/01/2016 - C N/A WC011953157 FL SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 D N/A WC011953159 MA SIR applies per policy to 01/01/2015 ms & conditions, 01/01/2016 C N/A WC011953160 ND, OH, WA, WI, WY SIR applies per policy to 01/01/2015 ms & conditions 01/01/2016 C N/A wCO11953158 ME SIR applies per policy to 01/01/2015 ms & conditions 01/ur/ ACORD 101 (2008101) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo ere registered marks of ACORD