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Home My WebLink About113664 JORDAN'S TREE MOVINT & MAINTENANCE INC - INSURANCE CERTIFICATEOP ID: JW1 ATE,acoRO CERTIFICATE OF LIABILITY INSURANCE D02/20//2 Yo19 02/2os 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 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 endorsements . PRODUCER CONTACT Front Range Insurance Group PHONE FAX 2002 Caribou Drive, Ste. 101 A/c No Ext: _ (A/c No): Fort Collins, CO 80525 E-MAIL David A. Wooldridge LUTCFAAI PRODUCER rrwrnuaa in o•JORDA-2 INSURED Moving & Maintenance, Inc 1025 Smithfield Drive Fort Collins, CO 80524 INSURERS AFFORDING COVERAGE I NAIL / INSURERA:Secura Insurance Companies 122643 INSURER B : Pinnacol Assurance 141190 INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER M DDPOLICY /YYYY D MM D/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X CP003200287-3 12/19/2018 12/19/2019 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 A X Prof Liab CP003200287-3 12/19/2018 12/19/2019 GENERAL AGGREGATE $ 2,000,000 GE AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY X JECT PRO LOC Prof Liab $ 1,000,00 A AUTOMOBILE X LIABILITY ANY AUTO X A3200288 12119/2018 12118/2019 COMBINED (Ea �dtSINGLE LIMIT $ 1 000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NLIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) NIA 4040726 03/01/2019 03/01/2020 X WCSTATU- OTH- DRYB I I ER E. L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Fort Collins, its officers, agents and employees are included as additional insured per conditions and -form shown on page 2. CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Puchasing Dept. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD NOTEPAD JORDA-2 PAGE 2 INSURED'S NAME Jordan's Tree OP ID: JW1 Dace 02/20/2019 I£ required by written contract or agreement signed prior to a loss, the following endorsements apply on a blanket basis General Liability CG2033(07/04) Additional Insured -Owners, Lessees or Contractors CG2037(07/04) Additional Insured-Owenrs, Lessees or Contractors -Completed Operations CG2404(10/93) Waiver of Transfer of Rights of Recovery Against Others CGE2266(11/99)Primany 6 Noncontributory Auto Liability CAE0131(08/15)Additional Insured Wrap -Includes Primary 6 Noncontributory and Waiver of Transfer of Rights of Recovery Against Others Workers' Compensation 359-B Blanket Waiver of Subrogation