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HomeMy WebLinkAbout131966 TRUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE (5)DATE (MMIDDIYYYY) A� 0® CERTIFICATE OF LIABILITY INSURANCE 12/22/2016 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 endorsements . CONTPRODUCER NAME: JoAnn Warpool _ ___ _ _ Arthur J. Gallagher Risk Management Services, Inc. PHONE 615 377 5153 FAxC. 615 263 5853 _ 5500 Maryland Wayy Suite 330 E-MAIL Brentwood TN 37027 ADDRESS, JoAnn_Warpool@ajg.com_ INSURFRISI AFFORDING COVERAGE NAIC #I INSURED TruGreen Limited Partnership 1790 Kirby Parkay Forum II Tower Memphis TN 38138 INSURER A: Insurance Company of State of PA 19429 TRUGHOL-01 INSURERB:Commerce and Industrrinsurance Com 19410 INSURER c: National Union Fire Insurance Compa 19445 INSURER D:New HamDshire Insurance Company 23841 nwrnArro rr0r1C1f ArrnuIltaocD.1F5R1?RF3Q Dr\/IClnnlIUIINIRF'D- 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 AWL I S 5UBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y GL3629891 1/1/2017 1/1/2018 EACH OCCURRENCE $3,000,000 CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence) ccu re�nce $3,000,000 —_ X MED EXP (Any one person) $5,000 Pest/Herb Appl PERSONAL & ADV INJURY $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL_AGGREGATE $20,000,000 _ POLICY PRO- JECT [ X] LOC PRODUCTS - COMP/OP AGG � $In $20,000,000 $ OTHER: C C C AUTOMOBILE LIABILITY X ANY AUTO Y Y CA1921813(AOS) CA1921814(VA) CA1921815(MA) 1/1/2017 1/1/2017 1/1/2017 1/1/2018 1/1/2018 1/1/2018 COMBIR=9INGLE LIMIT Ea accident $5,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) OPERTP Per accident) $ X OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ I $ D A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN :ANY PROPRIETOR/PARTNER/EXECUTIVE :OFFICER/MEMBER EXCLUDED? � (Mandatoryin NH) NIA Y WC014649600(AOS) WC014649605(MA) 1/1/2017 1/1/2017 1/1/2018 1/1/2018 XPER I STATUTE ER E.L. EACH ACCIDENT _ $1,000,000 — E.L. DISEASE - EA EMPLOYEE — _ $1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more 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 04/13 and CG2037 04/13 and Automobile Liability policies CA1921813 and CA1921815 form 87950 10/05. Waiver of Subrogation applies to the General Liability per form CG2404 5/09, Automobile Liabilityy per form 62897 6/95 and Workers' Compensation policies per form WC000313 4/84; WC040351 11II CA. The General Liability policy is primary per forms 90534 3/06 or 74434 10/00 if required by written contract and automobile policy# 74445 10/99. General See Attached... rFRTIFIrATF wni r1FR CANCFI I ATInNI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street, 3rd Floor Fort Collins CO 80522-0580 AUTHORIZED REPRESENTATIVE c USA C 1988-2015 ACURD CURPURA I IUN. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 4CORO® AGENCY CUSTOMER ID: TRUGHOL-01 LOC #: nnniTinnlnll DPRAADL4f4Z cru�ni ii Panes 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED TruGreen Limited Partnership 1790 Kirby Parkay Forum II Tower Memphis TN 38138 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ,DDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORMTITLE: CERTIFICATE OF LIABILITY INSURANCE Liability Coverage has Pesticide or Herbicide Applicator Endorsement 30 day notice of cancellation applies per these forms: Auto-#CA1921813 -form #101399 9/14; #CA1921814-form 62138 3/95; #CA1921815 -form #101399 4/09; General Liability Form #107414 3/11; Workers Comp-Policy#WC014649600-form #990039 8/02; Policy#WC068022460-form #990039 8/02; Policy#WC014649604-form #990039 8/02;Policyy#WC014649606-form #990039 8/02;Policy#WC014649608-form #990039 8/02; Policy#WC014649602-form #990411 8/03; Policy#WC014649608-form #992003 9/02. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD