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HomeMy WebLinkAboutBRIGHTVIEW LANDSCAPES LLC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/YYYY) 09/19/2019 I 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 Aon Risk services Northeast, Inc. New York NY Office CONTACT NAME: PHONE (866) 283-7122 FAX (600) 363-0105 lac. No. EXe): A/C. No.: One Liberty Plaza 165 Broadway, Suite 3201 E-MAIL ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 BriohtvieW LandscaDes. LLC 980 Jolly Road, Suite 300 INSURERB: American Guarantee & Liability Ins CO 26247 INSURER C: Blue Bell PA 19422 USA INSURER O: INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: 570078312676 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMIDD/YVYV xp MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY XSLG10/01/2020 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & condi ions DAMAGE TO RENTED PREMISES Ea occurrence $2,000,000 MED EXP (Any one person) $10, 000 PERSONAL& ADV INJURY $2,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY ❑X PRO F_X] LOC JECT PRODUCTS - COMP/OPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY ISA H09093722 10/01/20191010112020 COMBINED SINGLE LIMIT Ea acciden $5,000,000 BODILY INJURY ( Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PR OPERTVDAMAGE (Per accident B X UMBRELLALUIB X OCCUR AUC508596815 10/01/2019 10/01/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $10,000,000 DED RETENTION A A WORKERS EMPLOYERSOLIABILITY ION AND YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F9 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCRCSA0S0179 SCFC50800192 Inc - WI SIR applies per policy terns 10/01/2019 10/01/2019 & condi 10/01/2020 10/01/2020 ions X STA UTE OTH- E. L. EACH ACCIDENT $2,000,000 E.L. DISEASE -EA EMPLOYEE $2,000,000 E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Re:Old Town Square Irrigation System Project #6084. General Liability per Project General Aggregate applies when required by written contract. The City of Fort Collins and Downtown Development Authority are named as Additional Insureds with regards to General Liability. CERTIFICATE HOLDER y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE y _ POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE PURCHASING DIVISION 215 NORTH MASON STREET, 2ND FLOOR y /fir FORT COLLINS CO 80524-4402 USA � J' e�fi �IZ�LL(G - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CANCELLATION