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HomeMy WebLinkAboutBRIGHTVIEW LANDSCAPES LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09l17/2018 I 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 have ADDITIONAL INSURED provisions or 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 Northeast, Inc. New York NY Office CONTACT NPHOE AME: (A/C.NNo. Ext): (866) 283-7122 ac No) (800) 363-0105 E-MAIL ADDRESS: One Liberty Plaza 165 Broadway, Suite 3201 INSURER(S) AFFORDING COVERAGE NAIC # New York NY 10006 USA INSURED INSURER A: American Guarantee & Liability Ins CO 26247 BrightVieW Landscapes. LLC INSURER B: ACE American Insurance Company 22667 401 Plymouth Road Plymouth Meeting PA 19462 USA INSURER C: INSURER D: INSURER E: INSURER 1: COVERAGES CERTIFICATE NUMBER: 570073046231 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 INSR LTR TYPE OF INSURANCE ADD INSD BR WVD POLICY NUMBER F MM/DD/YYYY LI X MMIDDlYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY XS LG 1 1 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & condl ions DAMAGE TRENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL& ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY M PRO FX] LOC JECT PRODUCTS - COMP/OPAGG $4,000,000 OTHER: B AUTOMOBILE LIABILITY SCA H09090538 101011201810/01/2019 COMBINED SINGLE LIMIT Ea accident $3,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HI RED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident A X UMBRELLA LIAB X OCCUR AUC508596814 10/01/2018 10/01/2019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10 , 000 , 000 DED RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER /EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA WLRC48583404 WC - AOS SCFC48583428 WC - WI 10/01/2018 10/Ol/Z018 10/01/2019 10/Ol/2019 X STATUTE EORH E.L. EACH ACCIDENT $ 2 , 000 , 000 E.L. DISEASE -FA EMPLOYEE $2 , 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2 , 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re:old Town Square Irrigation System Project #6084. General Liability per Project General Aggregate applies when required by written contract. The City of Fort Collins and Downtown Development Authority are named as Additional Insureds with regards to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE PURCHASING DIVISION 215 NORTH MASON STREET, 2ND FLOOR/�' FORT COLLINS CO 80524-4402 USA �j y,� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED — ENGINEERS, ARCHITECTS, OR SURVEYORS Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G71075771 001 10/1 /18 to 10/1 /19 10/01 /2018 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY A. Section II — Who Is An Insured is amended to include as an additional insured any architect, engineer, or surveyor engaged by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In connection with your premises; or 2. In the performance of your ongoing operations. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afford- ed to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, sur- veys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the su- pervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising in- jury", involved the rendering of or the failure to render any professional services by or for you. XS-21184a (04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission