The URL can be used to link to this page

Home My WebLink About113664 JORDAN'S TREE MOVING & MAINTENANCE - INSURANCE CERTIFICATE (2)i"ase"N OP ID: TA . O CERTIFICATE OF LIABILITY INSURANCE DATE 03/05/LIDY1201 sa � 3/055 �5 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 Phone: 970-223-180AI CONTACT Front Range Insurance Group Fax PHONE FAX 1100 Haxton Drive Suite 100 C No t: A/c No: Fort Collins, CO 80525 ADDREADDRE David A. Wooldridge LUTCFAAI SS: 9 PRODUCER re�nnw w N INSURED Jordan'sTree INSURER A:Secure, Insurance Companies 22543 Moving & Maintenance, Inc INSURER B: Pinnacol Assurance 41190 1025 Smithfield Drive Fort Collins, CO 80524 INSURERC: 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. INSR TR rypE OF INSURANCEADDL UM POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDDIYYYY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR X Prof Liab X CP003250287.3 CP003260287-3 12/19/2014 12/19/2014 12/1912015 12119/2015 EACH OCCURRENCE S 1,000,00 PREMISES Ea occurrence E 300,0001 MED EXP(Any one Person) S 10,00 PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE 5 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY X PRO LOC PRODUCTS - COMP/OP AGO $ 2,000,00 lProf Llab S 1,000,00 A AUTOM0131LE LIABILITY ANY AUTO ALL OWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X A3200288 12N 912014 12/19/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) E X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X S $ UMBRELLA UAS EXCESS LIPS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABU JTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ws dscribe under NINON OF OPERATIONS below N I A 0726 03/01/2015 03/01/2016 X I WC STATU- - - OTH-- ORY LIMITS 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 A Equipment Floater 34UUNSR3887 12/19/2014 12(19/2015 Leased 250,00 Ded 50 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 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 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I, © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD