HomeMy WebLinkAbout131966 TRUGREEN LIMITED PARTNERSHIP - INSURANCE CERTIFICATE (6)A ADDITIONAL REMARKS SCHEDULE Page 2 Of 3
ACFN(Y
Arthur J. Gallagner & co.
NAMED TNaURED
TruGreen Limited Partnership
FJLI Y NUMT33 2
See certificate
CI+['.P.11X.. hL11C COGG
see certificate
EFFECTIVE DATE:01/0112017
ADDITIQNP,L REMARKS
THISADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 2 5 FORM -I -LE: Ce_tificate of L'at,''-:y Insurance
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER
INSURER
INSURER
INSURFR
ADDITIONAL POLICIES If policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
1t(SR
LTR
TYPE OF INSURANCE
A'C[.
SUBP.
wVC
PG LSY NUMLI:3R
POLICY
EFFECTTVF
DATE
POLICY
FXPTRATTON
DATE
(hM9/DD/YYYY)
(MM/DD/YYY )
D
'WORKERS
COMPENSATION
N%A
WC068022460
IL,KY,NC,NH UTYT
01/0112017
ms &
01/01/2018
SIR applies per Dolicv ter
condiitions
D
WORKERS
COMPENSATION
N%A
WC014649604
GA, VA
01/01/207
ms &
01101/2018
SIR wr lias Der nolicv ter
conditions
D
WORKERS
COMPENSATION
N1A
WCO14649607
NJ, PA
SIR coolies oer oolicv ter
01101/207
1
conditions
01/0112018
WORKERS
N1A
WC014649602
01/01/207
01/01/2018
D
COMPENSATION
CA
ms &
51R applies per Dolicv ter
conditions
D
WORKERS
COMPENSATION
N\A
WC014649603
FL
01/01/207
ms &
01/01/2018
SIT applies per policy ter
conditions
D
WORKERS
COMPENSATION
N1A
WC014649608
ND. OH, WA, WI, WY
01/01/207
ms &
01/01/2018
SIR wolies oer oolicv ter
conditions
D
WORKERS
COMPENSATION
NtA
WC014649606
ME
01/01/207
n &
01101/2018
SIR applies per oolicv ter
conditions
ACORD 101 (2008101) 2008 ACORO CORPORATION All rights reserved
The ACORD name find togo fire mgistered mwka of ACORO
ADDITIONAL REMARKS SCHEDULE Page f
AGENCY
NAMED INSURED
Arthur I. ',allagner & co.
TruGreen Limited Partnersnip
POLICY NUMBER
see certificate
CARRIER 1NAIC CODE
01/01/2017
JCC l.CLL.1r1l.:GLLt=
ADDITIONAL REMARKS
ITHISADDITIONAL R—E-MARKS FORM ISA SCHEDULE TOACORD FORM, I
FORM NUMBER: ACORD 25 FORM TITLE: Certifirateof L:ab::v Insurance
Additional Description a1 Operations I Loclitiovs 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 #36-3734669
'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
EG Systems, LLC
d/b/a Scotts Lawn Service
d/b/a Action Pest Control
d/b/a Ortho Pest Control
ACORD 101 (200&01) c 20D8 ACORD CORPORATION All rights reserved
The ACORD name and logo are registered marks of ACORD