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Home My WebLink About463182 THE DAVEY TREE EXPERT COMPANY - INSURANCE CERTIFICATE (10)/ 1ID ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/2812019 THIS RTIFICATE 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 Marsh USA Inc. 200 Public Square, Suite 3760 Cleveland, OH 44114-1824 Attn. Cleveland.CertRequest@marsh.com CONTACT NAME: _ PHONE rF'r'X —_ -- - I (AD Not. E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC# INSURER A: Old Rqpubfic insurance Cornpany 24147 138731 RESICA HILL INSURED The Davey Tree Expert Company 1500 N. Mantua Street INSURERS: -- INSURER C : INSURER D : Kent, OH 44240 INSURER E INSURER F I.V VCRNVCJ CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO 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 SUER POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MM DD/YYYY LIMITS A X COMMERCIALGENERALLIABIUTY MWZY31404219 09/01/2019 09/01/2020 EACHOCCURRENCE $ 5,000,000 CLAIMS -MADE FxI OCCUR DAMAGE PREMISES E cuE Z $ 5,000,000 MED EXP (Any one ano(1) S 25'000 PERSONAL & ADV INJURY $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS -COMP/OP AGG $ 5,000,000 X POLICY ❑ PRO ❑ LOC JECT S OTHER 31404119 MWfB 3140 0910112019 09/01/2020 COMBINED SINGLE LIMIT $ 5,000,000 A AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED PPROPEERTYTY �AMAGE er $ X AUTOS ONLY AUTOS ONLY $ UMBRELLA I" OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LJAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION X I STATUTE I ER $ A MWC 31404019 (AOS) 01/2020 E.L. EACH ACCIDENT $ S,000,000 AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE NI NIA E.L. DISEASE -EA EMPLOYEE $ 5,000.000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 5,000,000 If yes deso,be urMer DESCRIPTION OP OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A EXCESS WORKERS COMPENSATION MWXS 31404319 (CA, OH, PA, NC, WA) 09101/2019 09101/2020 WORKERS COMPENSATION STATUTORY EXCESS OF $5,000,000 SIR EMPLOYERS LIABILITY 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) THE CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES IS(ARE) INCLUDED AS ADDITIONAL INSURED(S) AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND ONLY AS RESPECTS OPERATIONS PERFORMED ON THEIR BEHALF BY THE NAMED INSURED. CITY OF FT. COLLINS ATTN: PURCHASING PO BOX 580 FORT COLLINS, CO 80524 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 of Marsh USA Inc. Luann M. Glavac Ore—'t .r— 01-7 � lJ IJOO�LV IO MV Vr\V VV,♦�v�\r�„v,�. r�� .y..w ........ ...... ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD