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HomeMy WebLinkAbout120528 FORT COLLINS TREE CARE INC - INSURANCE CERTIFICATE (8)AC� 72/26/2019 (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 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. It 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 TrueNorth Companies, L.C. rHOMrEiE RM Longmont Fax - ._._--T----.` -_. ._.-------- 275 S. Main Street, Ste. 100 - 303-776-5122 A No ; 303-776 5495 Longmont CO 80501 ADDRESS: certstDtruenorthcompanies.com INSURED Fort Collins Tree Care, Inc. 301 East Douglas Road Fort Collins CO 80524 INSURER(S) AFFORDING COVERAGE NAIC 7f INSURER A: PIMacol Assurance Company 41190 FORTCOL-09 INSURER 8 : Hartford Accident and Indemnity COm n 22357 INSURERC: Trumbull Insurance Comoanv i 27120 COVERAGES CFRTIFICATF NIIMRFR-73Q71AA7n R6:VICIr1n1 Kit IMP FR- 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 DL-1§CI9 ^- T POLICY EFF -POLICY EX— P LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYI (MMADD/YYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE %�OCCUR Y ( 34UUNSR3900 3/5/2019 3/5/2020 EACH OCCURRENCE _ _ E TO RENTED - - P MISE$_iE�9C5i+rr41�41__ $ 1,000,000_ g 300 000 __ _ pereon� $10,000 %� 1 PESTlHERB" _J _-�._�_�, _ PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _.._.. GENERAL AGGREGATE -_ $ 2,000,000 POLICY X JEa _ Loc PRODUCTS - COMP/OPAGG $2,000,000 `LTD POLLUTION $ INCLUDED OTHER: C AUTOMOBILE LIABILITY 34UENOK7387 3/5/2019 3/5,2020 COMBINED SINGLE LIMIT a'r&09rnJ_ $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED AUTOS SCHEDULED AUTOS ONLY BODILY INJURY (Per accident) $ X HIRED AUTOS ONLY X NON-OWN AUTOS ONED P PROPERTY DAMAd-E $ — --- UMBRELLA LIAB I OCCUR { JJJ EACH_OCCURRENCE _ � $ EXCESS CLAIMS_ -MADE i AGGREGATE _ r $ — — $ �LI jAR DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILnY Y N ANYPROPMETOR/PARTNEREXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A 4148327 5/1/2018 OTH- 5/1/2019 X ER STATUTE _ E.L. EACH ACCIDENT .- $1,000,000 $1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE yes.describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 7 i i DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins as Additional Insured as required by written contract. City of Fort Collins Purchasing Division P O Box 580 Fort Collins CO 80522 USA 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. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 15315