HomeMy WebLinkAbout131966 TRUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE (3)A�� ® 7DATE (MM.tDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE /19/2018
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 CONTACT
NAME: JDAnn Warpool —
Arthur J. Gallagher Risk Management Services, Inc. PHONE Fax
8 Cadillac Drive, Suite 200 w 615-377-5153 (AC.No): 615-263-5853
Brentwood TN 37027 ADDRlEss: JoAnn War ool a' .com
INSURED
TruGreen Limited Partnership
1790 Kirby Parkay
Forum II Tower
Memphis TN 38138
INSURER(S) AFFORDING COVERAGE I NAIC #
INSURER A: Commerce and Industry Insurance Company 19410
TRUGHOL-01 INSURER B: National Union Fire Insurance Com an of Pittsbur 19445
INSURERC: New Hampshire Insurance Company ___ 23841
INSURER D :
INSURER E : ---- - -- — --- - --- -- ..._
CAVFRAnPA CFRTIFICATF NIIMRFR- 1305956346 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.
ILT R _- TYPE OF INSURANCE - -_ "- - `ADDLI�.+tTER '- __- --_POLICY NUMBER "-- — '-MMND EFF� POLICY EXP LIMITS
LTR
A
X COMMERCIAL GENERAL LIABILITY
Y
Y
GL4611444
1/1/2019
1/1/2020
EACH OCCURRENCE
I DAMAGE TO AGNT
$ 3,000 000
j CLAIMS -MADE X OCCUR
I pF MI$E$_&a pxAirr.4m]
$ 3,000 000
X Pest/Herb Appl
_.—___ . —
MED EXP (Any on�erson
$ 5,000 i—
I PERSONAL & ADV INJURY
$ 3,000,000
x $1,000,000 Dad
_
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 20,000,000
PRODUCTS • COMPiOP AGG
$ In 520,000,000
POLICY E 0 LOC
$
OTHER:
8
AUTOMOBILE LIABILITY
Y
Y
CA7093392 1/1/2019
1/1/2020
MBINED SINGLE LIMIT
er
$5,000,000
--
8
8
X ANY AUTO
CA7093393 1/1/2019
CA7093394 1/1/2019
1/1/2020
1/1/2020
[BODILYINJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
1 BODILY INJURY (Per accident)
$
PROPERTYOAMAGE
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
(Per accidentIl
x $1000000 Ded
I
$
UMBRELLALIAB OCCUR
EACH OCCURRENCE
$
$
EXCESS LIAB I ,CLAIMSMADE -
lam___......__.-
f AGGREGATE
_
DIED RETENTION
$
C WORKERS COMPENSATION
Y
WC013778995
1/1/2019
1/1/2020
X STATLITE ETH-
C AND EMPLOYERS'UABIUTY
c ANYPROPRIETORIPARTNEFVEXECUTIVE YIN
WC013778989
WC013778994
1/1/2019
1/1/2019
1/1/2020
1/1/2020
E.L. EACH ACCIDENT
$1,000,000
OFFICER.IMEMBEREXCLUDED? N
(Mandatory In NH)
NIA
i
-----
E.L DISEASE EA EMPLOYEE
$1,000 000 _...___._"—...—_.
If yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
i
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required)
If required by written contract per forms listed, Certificate Holder is included as an Additional Insured under the General Liability per form CG2010 04113 and
CG2037 04/13 and Automobile Liability policies CA7093392-87950 9/14; CA7093393 perform CA2048 2199 and CA7093394-87950 9/14 and CA7093394 form
MM9950 9/98. Waiver of Subrogation applies to the General Liability per form CG2404 5/09, Automobile Liability per form 62897 6/95 and Workers'
Compensation policies per form WC000313 4/84; WC420304B 6114-TX; WC040361 11 /90-CA. The General Liability policy is primary per forms 90534 3/06 or
63644 8/12 if required by written contract , the automobile policy is primary per form #74445 10/99 if required by written contract. General Liability Coverage
has Pesticide or Herbicide Applicator Endorsement 30 day notice of cancellation applies per these forms: Auto-#CA7093392 -form #10-7414 3/11;
#CA7093393-forml07414 3/11; General Liability Form #107414 3/11; Workers Comp-Policy#WC013778995-form #99056 4/11: Policy#WC013778996-form
#99056 4/11; Policy#WC013778990-form #99056 4/11; Policy#WC013778994-form #99056 4/11; Policy#WC013778989-form #99056 4/11 All Workers
Compensation policies have $1,000,000 Deductible
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
P.O. Box 580
215 N. Mason Street, 3rd Floor
Fort Collins CO 80522-0580
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
2 of 27 1294
ADDITIONAL REM
AGK.14CY
Arthur T. Galial.-ter &
MUCY RIWIEA
3Fe certifinate
'.:A11.r' MA
See Cartificate
REMARKS
iKS SCHEDULE
r-IAMED 111SUED
Tv)Green Limited PArtae-rship
01/01/2019
Page 2 of 1
I
TH 18?-L01 T I ORAL REMARKS FORM 12A.SCHEDULE TOAC'ORD FORM,
!",'1-M NUMFER: ACORD25
FORM TITLE:
INSURERS) AFFORDING COVERAGE
NAIC#
iNSUUUR-
INSURER
INSURFR
INSURPR
ArminONAL POLICIES
Ifa jk)licy b0ow does licit include limit information, refer to the corresrwndinj; poli(!y rit the ACORD
Lxrtiflcale fi)rm ror policy limits,
N)Llcy
-OLICY
FFUM. VF
DAT L
(A4"DDJY'YY1
HLI-111i
7.x? rkAy,. 4
OATL
(MIDDIMil
C
WORKERS
CCIAPENSATION
N1A
V\IC013778996
IL,KY,NC,NH UT,VT
1/11/2019
Mb C,
1/1/2020
SIR applies per policy ter
condiftils
C
WORKERS
COMPENSATION
N\A
WC01 3778990
GA, VA
1/1/2019
M3 &
1/1/2020
SIR arinfles mr rokv ter
conditions
C
WORKERS
COMPENSATION
ITA
WC013778997
NJ, PA
SIR anclips oer oclicw ter
1/1/2019
MS &
conditions
1/1/2019
1/1/2020
WORKERS
N\A
WC013778994
1/1/2020
C
COMPENSATION
t,'A
I SIR applies per policy ter
ms do
condition,
C
WORKERS
COMPENSATION
MA
%A/r.n1 177,9qql
FL
1/1/2019
nis &
1/112020
SIT applies per policy ter
conditions
E
WORKERS
N\A
WC01 3778993
WA, NU, QH, A, WI, WY
1/1/2019
MS&
1/1/2020
SIR aoi)lies nAr rlofiry lqr
conditions
ACORD 101 120MOI)
T^* ACORN lwm 01�e 1i0, va voistmfed fr-'vrk5 of ACORD
,' 2OD8 ACORD CORPCRATION All -�lgrlkll -ere-ved
3 of 27 1294
AnnITInNAll RFMARK-19 SCHEDULE
AGENCY INSURE V
Arthur j. C-ailagher & co. TruGteen Limited
PaLr-y N"IMSFR
r,ee certlfic.ate
GARMER NAIC, COM
I J T: r +.; -.,: I- t- 111, :'. 1. t- 1-- 01/01/2019
AIMTTTC+JAL FE1,0k"4.F.3
REH.k"4X3 FORM 13ASCHEDULE TCACORI) rORM,
FORM NUMBER, ACORD25 FORM TITLE 1 Pertificitt'-of
Ad.fftlml Omligfall �;4 OfmW!Ms i'0ca4VT11, J Vdhk*>;
Additional Information
*The Named Insured includes (but is not limited to):
,TruGreen Holdinq corporation
TruGreer, Inc.
TruGreen companies LLC
,TruGreen Limited Partnership
EG Systems, LLC
d/b/a Scotts Lawn Service
d/b/a Action Pest Control
d/b/a Ortho Pest Control
Outdoor Home Services, Inc.
2006 AC
ACORD 101 (200MI) ORD CORPORATION Ah rights om-N-jd
Thu ACCRD came AM IOGO "1'0 re Weted rmvs of ACCRD
4 of 27 1294