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HomeMy WebLinkAbout120528 FORT COLLINS TREE CARE INC - INSURANCE CERTIFICATE (9)A DATE (MMfDD/YVYY) CERTIFICATE OF LIABILITY INSURANCE 4/22/2019 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 ondorsement(s). PRODUCER NAME_, RM Longmont TrueNorth Companies, L.C. PHONE FAx 275 S. Main Street, Ste. 100 - 303-776-5122 arc No): 303-776-5495 Longmont CO 80501 -Mal` S• certs@truenorlhcompanies.com INSURED Fort Collins Tree Care, Inc. 301 East Douglas Road Fort Collins CO 80524 FORTOOL-09 INSURER(S) AFFORDING COVERAGE NAIC # A: Hartford Accident and Indemnity Company 22357 B: Trumbull Insurance Company 27120 ID: IE: nnVFRAr,FR rFRTIFICATF Nl1MRFR- 1A93n1Q73d RFVISInN 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. R II ---.___., ---- -� I§U POLt,ICY EFF POLIdY-EXP LTTYPEOFINSURANCE POLICY NUMBER MM1Q YYYY MMDD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 34UUNSR3900 3/512019 3/5/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR PREMISES (Ea occu 300,000P MED EXP (Any.onaerson) ��_$ $10,0000 _._-- --- -. _ PERSONAL A ADV INJURY $1,000,000 X PEST/HERB` GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 � I POLICY T, J PRO- RO- LOC PRODUCTS - COMP/OP AGG --- __ ------ $ 2,000,000 •LTD POLLUTION S INCLUDED OTHER: B AUTOMOBILE LIABILITY 34UENOK7387 3/5P2019 3/5/2020 ING E LIMIT I accident) $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED XI NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE rl $ S UM13RELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAS CLAIMS -MADE _ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANYPROPRIETOR/PARTNEP✓EXECUTIVE ❑ OFFICERiMEMBEREXCLUOED? (Mandatory In NH) N/A 4148327 5/1/2019 I 5/1/2020 X PER TI�E._1OTH- TAR E.LEACH ACCIDENT $1,000,000 --- $1,000,000 E.L. DISEASE - EA EMPLOYEE R yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $1,000,000 I I i I I DESCRIPTION OF OPERATIONS) 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 UANI.tLLA 1 IUN 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 3344