HomeMy WebLinkAboutROCKY MOUNTAIN TREE SERVICE - INSURANCE CERTIFICATE (5)AFRO CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY
11/6/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE
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 condition
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
Heritage General Agency
6 Inverness Court East Suite 110
Englewood, CO 80112
ONTACT NAME: PFS Insurance
NONE: 970-635-9400 FAX: 970-635-9401
-MAILADDRESS: patlCaMninsurance.com
RODUCER
USTOMER IDx
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Mark Berard DBA
Rocky Mountain Tree Service
P. O. Box 1334
Loveland, CO 80539
RER A: Burlington Insurance Company
RER B:
RER C:
RNSURER
F:
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO
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, EXCLUSION
AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUER
WVO
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1 000 00
A
X COMMERCIAL GENERAL LIABILITY
X
251 B005527
11/4/2017
11/4/2018
ocMAe eT0 RENTED PREMISES (Ea
$100,00
CLAIMS MADE aOCCUR
MED PAY (Any one person)
$5,00
PERSONAL & ADV INJURY
$1 000 00
GENERAL AGGREGATE
$2 000 00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
Incl in Gen Agg
X POLICY JECTPRO- LOC
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT (Ea
accident)
$
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
PROPERTY DAMAGE (Per accident)
$
$
HIRED AUTOS
$
NON -OWNED AUTOS
H
$
UMBRELLA LIA
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
GARAGE LIABILITY
AUTO ONLY (Ea accident)
$
ANY AUTO
OTHER THAN (Ea accident)
$
AUTO ONLY. (Aggregate)
$
$
$
[DESCRIPTION
OF OPERATIONS / LOCATI NS / VEHI LE :
Tree trimming and lawn service
Certificate holder is additional Insured
CtK I IFICA It HULULK CANCELLATION
City of Fort Collins
PO BOX 580
Fort Collins, CO 80522
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
EFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
NY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.