HomeMy WebLinkAbout551529 SUPERTREES INCORPORATED - INSURANCE CERTIFICATEPolicy_OLCA_CertificateOfInsurance
www.saif.com
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Certificate holder:
CITY OF FORT COLLINS
ATTN: KATY RECTOR
215 NORTH MASON
FORT COLLINS, CO 80525
The policy of insurance listed below has been issued to the insured named below for the policy period
indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of
such policy; this policy is subject to change or cancellation at any time.
Insured
Supertrees Incorporated
10301 S Kraxberger Rd
Canby, Or 97013-9366
Producer/contact
USIS
c/o SAIF Corporation
United Insurance Agencies
United Insurance Agencies
541.242.6464 workerscomp@uiaoregon.com
Insurer
Issued
Policy
Period
Zurich American Insurance Company
08/12/2020
2185915
09/01/2020 to 09/01/2021
Limits of liability
Bodily Injury by Accident
Bodily Injury by Disease
Body Injury by Disease
$500,000 each accident
$500,000 each employee
$500,000 policy limit
þ Any Proprietor/Partner/Executive Officer/Member Excluded ¨ Subrogation waived
Description of operations/locations/special items
All operations in Colorado
Important
This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate
does not amend, extend or alter the coverage afforded by the policies above. This
certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the
certificate holder.
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
Drew Moreton
Vice President, USIS
Workers’ Compensation
Certificate of Insurance