HomeMy WebLinkAboutTHE DAVEY TREE EXPERT COMPANY - INSURANCE CERTIFICATE 2023-2024212 345-5000 8/17/2023 3:01:22 AM PAGE 2/003
CERTIFICATE OF LIABILITY INSURANCE
Fax Server
DATE (MrVDD/YYYY)
oa�isrzo2s
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 BETNIEEN 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 CONTACT M3f5h I U.S. 0 2f3fi0f15
MARSH USA LLC. NA�� p
PHONE (966) B66-4664 q/� No :
200 Public Square, Suite 3760 A/C No Ezt :
Clevelantl, OH 441 14-1 824 o��F«, Clevelantl.CeriRequest@marsh.com
INSURED
The Davey Tree F�pert Company
1500 N. Mantua Sireet
Kent, OH 44240
138731 RESICA
INSURER A : Old
INSURER D :
Insurance
COVERAGES CERTIFICATE NUMBER: CLE-005890623-51 REVISION NUMBER: 3
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 POLICIE3 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR rypEOFINSURANCE ADDLSUBR pOLICVNUMBQt MM'DDvIYYYY MM'DDvIYYYY LIMTS
LTR
A X COMMERCIALGENEaaLLIABIury MWZY31404223 09/01/2023 09/01/2024 EACHOCCURRENCE $ 5,000,000
onMncE ro RENrEo
CLAIMS-MAOE X OCCUR PREMISES Eaoccurrence $ 6,OOQ000
MEOEXP(Myoneperson) $ 26,000
PERSONr�B r�V INJURV g 6,OOQ000
GEMLAGGREGATELIMITAPPLIESPER�. GENERALAGGREGATE $ 6,OOQ000
X POLICV � jEpo- � LOC PROOUCTS-COMP/OPAGG $ 6,OOQ000
OTHER $
A AUTOMOBILELIABIury MWTB31404123 09/01/2023 09/01/2024 COMBINEOSINGLEUMIT g 5,000,000
Ea accident
X ANV AUTO BOOILV INJURV (Per person) $
OWNEO SCHEOULEO BOOILV INJURV (Per accident) $
AUTOS ONLV AUTOS
X HIREO X NON-OWNEO PROPERTVOAMAGE $
AUTOS ONLV AUTOS ONLV Per accident
$
UhBRELLALIAB OCCUR EACHOCCURRENCE $
EXCESSLIAB CLAIMS-MAOE AGGREGATE $
OEO RETENTION$ $
A WORKERSCOhTENSATION MWC31404023(AOS) 09/01/2024 X PER OTH-
AND fMPLOVERS' LIABILITY STATUTE ER
ANVPROPRIETOR/PARTNER/EXECUTIVE y/N E.LEACHACCIOENT $ 6,OOQ000
OFRCER/MEMBEREXCWDED? � N�A
(MantlatoryinNH) E.LOISEASE-EAEMPLOVEE $ 6,OOQ000
fyes, describe under 6,OOQ000
OESCRIPTIONOFOPERATIONSbelow E.LOISEASE-POLICVLIMIT $
A F�cess Workers Compensation MWXS 31404323 (NC, OH, PA, WA) 09/01/2023 09/01/2024 Workers Compensation StaWtory
A SIR:$6,OOQ000 MWXS3163B123(CA) OB/01/2023 OB/01/2024 Employer'sLiability 1,OOQ000
DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORD101,AtltltlionalRemarks5chetlule,maybeattachetlRmorespaceisrequiretl)
CITV OF FORT COLLINS IS(ARE) INCLUDED AS ADDITIONAL INSURED(S) AS RESPECTS GENERAL LIABILITVAND AUTOMOBILE LIABILITV WHERE REQUIRED BV WRITTEN CONTRACT OR
AGREEMENT AND ONLVAS RESPECTS OPERATIONS PERFORMED ON THEIR BEHALF BV THE NAMED INSURED.
CH�:illy[N_\I�:N]�U�:�
GN OF FORT COLLINS
ATTN: PURCHASING
PO BOX 580
FORT COLLINS, CO 80522
CNe1�N3���e\I[�l�l
SHOULD ANY OF THE ABOVE DESCRIBm POLICIES BE CANCEILED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEDREPRESENTATNE
ACORD 25 (2016/03)
I'i�.sti¢w/ T-d'-.Sra'..C°�L'�(�
O 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
212 345-5000
8/17/2023 3:01:22 AM PAGE 3/003 Fax Server
AGENCY CUSTOMERID: CN101565730
LOC #: Cleveland
AGENCV
MARSH USA LLC.
POLICV NUMBER
CARRIER
ADDITIONAL REMARKS
�!,���������,��,��,�1�1��,�,►��Yyi���1����
NAIC CODE
NAh�ED INSURED
The Davey Tree Expert Company
15�� N. Mantua Sireet
Kent, OH 4424�
EFFECTNE DATE:
Page 2 of 2
ACORD 101 (2008/01) 02008ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD