Loading...
HomeMy WebLinkAbout131966 TRUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE (4)Saco CERTIFICATE OF LIABILITY INSURANCE TE(MMIDD/YYYY) F,2/2W20115 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 endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 5500 Maryland Way, Suite 330 Brentwood TN 37027 INSURED TruGreen Limited Partnership 860 Ridge Lake Boulevard Memphis, TN 38120 JoAnn Warpool Id. 615-377-5153 JoAnn_Warpool( INSURERS} AFFORDING COVERAGE INSURER A': insurance Company of State of PA TRUGHOL-01 INSURER B:Commerce and Industry Insurance Com INSURER c: National Union Fire Insurance Compa INSURER D:New Hampshire Insurance Company Cr)VFDAr_FC CFDTIrIr ATC KII IAADCD- 1RRRn11 n07 UCVICIrIhI All IAADCD. 615-263-5853 19429 19410 19445 23841 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 WV POLICY NUMBER POLICY EFF MIDDIYY POLICY EXP MIDD/YY LIMITS B X COMMERCIAL GENERAL LIABILITY GL2039140 1/1/2016 1/1/2017 EACH OCCURRENCE $3,000,000 CLAIMS -MADE � OCCUR PREMISES (Ea occurrence) $3,000,000 MED EXP (Any one person) $5,000 _ PERSONAL & ADV INJURY $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $20,000,000 POLICY ❑ PET ❑X LOC PRODUCTS - COMP/OP AGG $In $20,000,000 $ OTHER: C A C AUTOMOBILE LIABILITY ANY AUTO CA9734247 CA9 734248 CA9734249 1/1/2016 1/1/2016 1/1/2016 il1/2017 111 /2017 1/1/2017 —CMMNED SINGLE LIMIT (Ea acdderjd $5,000,000 X BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ HIRED AUTOS NON -OWNED AUTOS YDAMA Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A WC068022459 (AOS) WC068022466(MA) 1/1/2016 1/l/2016 1/1/2017 1/1/2017 )( PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below $1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It rnore space Is required) If required by written contract per forms listed, Certificate Holder is included as an Additional Insured under the General Liability per form CG2010 04113 and CG2037 04/13 and Automobile Liability policies form 87950 10/05. Waiver of Subrogation applies to the General Liability per form CG2404 5/09, Automobile Liability per form 62897 6/95 and Workers' Compensation policies per form WC000313 4/84. The General Liability policy is primary per forms 90534 3/06 or 74434 10/00 if required by written contract, but only for claims arising out of the negligence of TruGreen Limited Partnership. CERTIFICATE HOLDER CANCELLATION City of Fort Collins P.O. Box 580 215 N. Mason Street, 3rd Floor Fort Collins CO 80522-0580 USA 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 REPRESENTA © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD A ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY Arthur J. Gallagher & Co. NAMED INSURED TruGreen Limited Partnership POLICY NUMBER see certificate CARRIER NAIC CODE See certificate EFFECTIVE DATE: 1/I/IA ADDITIONAL REMARKS THISADDITIONAL REMARKS FORM ISA SCHEDULE TOACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Ce~tificate of L_ab.=_.y Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. I INSR LT TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS (MM/DD/YYYY) (MM/DD/YYYY) C WORKERS COMPENSATION N/A WC068022460 01/01/2016 01/01/2017 IL, KY, NC, NH, UT, VT SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022462 01/01/2016 01/01/2017 GA, VA SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022461 01/01/2016 01/01/2017 NJ, PA SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022463 01/01/2016 W 01/2017 CA SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022464 01/01/2016 01/01/2017 FL SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022467 01/01/2016 01/01/2017 ND, OH, WA, WI, WY SIR applies per policy to ms & condit ons C WORKERS COMPENSATION N/A WC068022465 01 01 2016 01/01/2017 ME SIR applies per policy to ms & condit ons ACORD 101 (2008/01) 02008 ACORD CORPORATION. All nghts reserved. The ACORD name and logo are registered marks of ACORD .4CCdR0' ADDITIONAL REMARKS SCHEDULE FIage (=f AGENCY Arthur J. Gallagher & co. NAMEDINSURED TruGreen Limited Partnership POLICY NUMBER see certificate CARRIER NAIL CODE see certificate EFFECTIVE DATE: 1W2016 ADDITIONAL REMARKS (THISADDITIONAL REMARKS FORM ISA SCHEDULE TOACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of L:ab::::y Insurance Additional Descripton of operations/ Locations l Vehicles: Additional Information *The named insured includes (but is not limited to) : TruGreen Holding corporation FEIN #46-4321581 TruGreen, Inc. FEIN #36-3734601 TruGreen companies LLC FEIN #36-4313320 TruGreen Limited Partnership FEIN #36-3734 669 TruGreen Home Landscape services, L.L.C. FEIN #20-5520972 Lake county Partnership FEIN #36-3453078 TruGreen Limited Partnership dba Barefoot Grass FEIN #36-3734669 TruGreen Limited Partnership dba EPM Lawncare FEIN #36-3734669 ACORD 101 (2008/01) ,r. 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD