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Home My WebLink About120528 FORT COLLINS TREE CARE - INSURANCE CERTIFICATE (8)AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) '% - 1 1 /21 /2019 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 CONTNq EACT RM Longmont TrueNorth Companies, L.C. PHONE 303-776-5122 FAx ; 303-776-5495 275 S- Main Street, Ste. 100 Longmont CO 80501 ADDRESS: certs0truenorthcompanies.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Company 29459 INSURED FORTCOL-o9 INSURER B : Plnnacol Assurance Company 41190 Fort Collins Tree Care, Inc. - - P y ----- 301 East Douglas Road INSURERC: Hartford Fire Insurance Company 19682 Fort Collins CO 80524 INSURERD: INSURER E : INSURER F : COVFRAGFS r l=RTIFIrATF IJIIIIIIRFR-S7o7re791 nevreinsr hit uenro. 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. IN9RT-- ADDL M POLICY EFF POLICY EXP LTR TYPE OF INSURANCEiman POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS T C X j COMMERCIAL GENERAL LIABILITY Y I 34UUNSR3900 3/5/2018 3/5/2019 EACHOCCURRENCE $1,000,000 PREMISES oflq rcence000 _ y j CLAIMS -MADE OCCUR MED EXP (Any one person� $10,000 X PESTIHERB` PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j X PR _J LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2.000,000 'LTD POLLUTION $ INCLUDED 1 OTHER: A AUTOMOBILE LIABILITY 34UENOK7387 3/5/2018 3/5/2019 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED X I AUTOS ONLY X AUTOS ONLY PROPERTYDAMAGE � (Per nQ $ $ UMBRELLAUAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS UAS CLAIMS -MADE DIED RETENTION $ $ 9 AND WORKERS EMPLCO RS' LIABI ON YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 7 OFFICER/MEMBER EXCLUDED? NIA 4148327 5/1/2018 SM12019 X PTAT 3TH E.L.EACH ACCIDENT - $1,000,000 E.L. DISEASE - EA EMPLOYEE —a---------- — $1,000,D00 -------- (Mandatory In NH) If yes. describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below, i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) City of Fort Collins as Additional Insured as required by written contract. %,cn r rrit,M I C IIVLUCn GANIaLLA 1 IUN City of Fort Collins Purchasing Division P O Box 580 Fort Collins CO 80522 USA 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 / 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2of2 3174