2018-632-E DEAPR - Bartlett Tree tree work

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DocuSign Envelope ID: B552026F-A622-4174-9048-110A48D7F257 DATE(MWDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE ��1��2n18 i 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 CONTACT NAME: _ York International Agencyy, LLC PHONE —� rFAX Attn: bartiettcert@yorkinti.com 914-376-2200 E-MAIL . .�--LItlfC,•IYnI.-. 500 Mamaroneck Avenue, Suite 220 ADDRESS: Harrison NY 10528 INSURERtSj AFFORDING COVERAGE NAIL a INSURERA:Travelers Property&Casualty CO of 25674 INSURED INSURER B;Travelers Indemnity Company 25658 The F.A. Bartlett Tree Expert Company INSURER C; 1290 East Main Street INSURERO; Stamford CT 06902 INSURER E: INSURER F• COVERAGES CERTIFICATE NUMBER:902160896 REVISION NUMBER: 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 TYPE OF INSURANCE` POLICY I:FF POLICY EXP LIMITS LTR INSR WVO POLICY NUMBER MMlDIb1YYYY MM1Di7lYYYY A X COMMERCIAL GENERAL LIABILITY Y TC2J-GLSA-1005A129-TIL-17 12!1!2017 12/1/2018 EACH OCCURRENCE $1,400,000 DAMAGE CLAIMS-MADE ❑OCCUR PREMISES(Ea occur ence) $1.000,000 RENTED X Contractual Llalr MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY s 7,000,Oa0 GEN'L AGGREGATE LIM IT APPLI ES PER: GENERAL AGGREGATE $5,000,004 X POLICY E PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: S A AUTOMOBILE LIABILITY TC2J-CAP-1005A130-TIL-17 12/112017 12/112019 $ Ea accident 2,000,040 X ANY AUTO BODILY INJURY(Per person) S ALL UTOS�ED AUTOS BODILY BODILY INJURY(Par accident) S X HIRED AUTOS y NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MAQE AGGREGATE S DEQ I I RETENTIONS $ B WORKERS COMPENSATION TC2K-U8-1005A105-17 12/112017 1211/2018 X FER OTH- B AND EMPLOYERS'LIABILITY YIN TRK-US-1005AI 17-17 12/1/2017 1211/2018 STATUTE E ANY PROPRIETORIPARTNERIEXECUTIVE NIA A E.L.EACH ACCIDENT $1,000,000 OF _R EXCLUDED? [Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DS EASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES iACORD 101,Additional Remarks Schedule,may be attached if more space is mciulmdl Change County is included as additional insured with respect to Commercial General Liability and Automobile Liability for work performed by The F.A. Bartlett Tree Expert Company. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 6823 Millhouse Road ACCORDANCE WITH THE POLICY PROVISIONS. Chapel Hill NC 27516 AUTHORIZED REPRESENTATIVE 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 42014101) The ACORD name and logo are registered marks of ACORD