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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