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HomeMy WebLinkAbout111134 MILL BROTHERS LANDSCAPE GROUP - INSURANCE CERTIFICATEMILLBRO-01 LWEISB '4� CERTIFICATE OF LIABILITY INSURANCE �6/ 4/2020 ) 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 PFS Insurance Group $848 Thompson Parkway Suite 200 Johnstown. CO 80534 INSURED Mill Brothers Landscape & Nursery, Inc. dba Mill Brothers Landscape Group 4760 Three Bell Pkwy Timnath, CO 80547 L`nVFDABFS r`FRTIFICATF NIIMRFR- REVISION NUMBER: 635-9401 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN I LISTED_ BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS.SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _ TYPE OF INSURANCE ADDL SUER POLICY NUMBER POUCY EFF POLICY EXP LIMITS A X, COMMERCIALGENERALLIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR 4D95754' 7/1/2020 7/1/2021 DAMAGE TO RENTED 500,000 $ Blanket Add'I Insd X MED EXP (Any oneperson) $ 10,000 X Blanket Waiver PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X J LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -. COMP/OP AGG $ 2,000,006 OTHER: A - - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 $ BODILY INJURY Per Person)$ X ANY AUTO E95I M 7/1/2020 7/1/2021 BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUpTNOSyy�Ep X AUTODS ONLY X AU70� ONLY X Blanket Addl Intl X Blanket Waiver PPe�a�m m AMAGE $ A X UMBRELLA UA13 X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAR CLAIMS -MADE _ 4KS5764 7/1/2020 711/2021 AGGREGATE $ 5,000,000 DIEDX I RETENTION$ 10,000 B WORKERS COMPENSATIONSTTU ANDEMPLOYERS'LU1BILnY YIN ANY PROPRIETORMARTNERIEXECUTIVE rF C ry n EXCLUDED? ❑ i N / A 3.037054 I 7/1/2020 7/1/2021 X PER OTH- .E.L.EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ H yes,. describe under DESCRIPTION OF OPERATIONS below - A Installation 4C95754 7/1/2020 7/1/2021 $1,000 Deductible 200,000 A LeasedlRented Equip 4C957 7/1/2020 7/1/2021 $1,000 Deductible 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD 101 Additional ALL OPERATIONS- ALL LOCATIONS. ARBORIST LICEN§E. If policy terms, conditions, limitations and exclusions: The referenced operations under General Llabiiity.and Designated Insured under applies to those named above for General Liability, Automobile excess coverage overthe General Liability, Automobile Liability Remarks Schedule, may be: attached Ifmore apace le required) required by written contract or written agreement the following provisions apply subject to the (excluding Professional Liability) are Included as Additional Insured for ongoing Automobile: Liability (except Hired and Non -Owned Automobile). A Waiver of Subrogation Llabilityand Workers' Compensation. Contractual Liability Is included. Umbrella provides and Employers Liability.7his insurance will apply on a Primary, non-contributory basis. PCDTICV`A= unI n=0 I CANCFI 1 ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Forestry Division THE &AIRAtIO N DATE NTH THE THERLICY PROOF, NOO S. TICE' WILL BE DELIVERED IN ACCORDNPO Box 580 Fort Collins, CO 80522-0580 - AUTHORIZED REPRESENTATIVE 4i ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD