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HomeMy WebLinkAboutTHE DAVEY TREE EXPERT COMPANY - INSURANCE CERTIFICATE,a o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 0411412015 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 MARSH USA INC. 200 PUBLIC SQUARE, SUITE 1000 CONTACT NAME: PHONE FAX A/C No): E-MAIL ADDRESS: CLEVELAND, OH 44114-1824 Attn: cleveland.certrequest@marsh.com INSURE S AFFORDING COVERAGE NAIC # INSURER A : Old Republic Insurance Go 24147 08670 -ALL-GAW-14-15 129931 RESOU RICHA INSURED DAVEY RESOURCE GROUP, A DIVISION OF INSURER B : THE DAVEY TREE EXPERT COMPANY INSURER C : INSURER D : 1500 N. MANTUA ST. KENT, OH 44240 INSURER E INSURER F : rnvcoenc¢ CFDTIFICATF IUt IMRFR• CI F-nf)d93g994-nl RFVISION Nl1MRFR: I 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 OF INSURANCE ADDLTYPE INSR WVDSUBR POLICY NUMBER POLICY EFF MM DDIYYYY POLICY EXP MMIDD LIMA A GENERAL LIABILITY MWZY 302374 09101/2014 09/01/2015 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 2,000,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCL IN GEN AGG $ nGEN'L X POLICY 7 PRO- LOC A AUTOMOBILE LIABILITY MWTB 302373 09/01/2014 09/01/2015 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ ANY AUTO INJURY (Per accident) $ ALL OWNED SCHEDULEDAUTBODILY AUTOS X NON -OWNED HIREDAUTOS AUTOS Ix PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION MWC 302372-00 (ADS) 09/01/2014 09101/2015 X I wcYS�u- OTH- AND EMPLOYERS' LIABILITY ANY OFFICEOPRIIMBER/� EXCLUDED ECUTIVE (Mandatory in NH) N/A (MN: Employers Liability only, Work Comp provided by W.C.R.A.) E.L. EACH ACCIDENT 5,000,000 $ E.L. DISEASE - EA EMPLOYE $ 5'�'� E.L. DISEASE - POLICY LIMIT 5,000,D00 1 $ 1f as, describe under DESCRIPTION OF OPERATIONS below A Excess Wo leers' Compensabon MWXS 302375 (CA, OR NC, PA, WA) 09/01/2014 0910112015 Employers Liability Limit $1,WWQ000 Excess of $5,000,000 SIR DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CITY OF FORT COLLINS IS(ARE) INCLUDED AS ADDITIONAL INSURED(S) AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND ONLY AS RESPECTS OPERATIONS PERFORMED ON THEIR BEHALF BY THE NAMED INSURED. r`CDTHZUCATG Ljt%i n=o CAIdCFI I ATIAN CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N MASON ST. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS, CO 80524 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Luann M. Glavac p(1' L01 r— 01117 %G,r-rani ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD