2019-577-E DEAPR - Bartlett Tree Contract Central Recreation Center

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DocuSign Envelope ID:4E5DA3FA-3E9B-4028-B186-409BB748CAD1 DATE[MMIDDfYYYY] CERTIFICATE OF LIABILITY INSURANCE 11i2/2018 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the pollcy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: York International Agency, LLC PHONE 914-376-2200 FAX Attn: bartlettcert@yorkinU.com JAM EMAIL 500 Mamaroneck Avenue, Suite 220 Harrison NY 10528 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Prope rl &C as ua Ity Co of 25674 INSURED INSURER B:Travelers Indemnity Company 25658 The F.A. Bartlett Tree Expert Company INSURER C: 1290 East Main Street Stamford CT 06902 1NSURERO: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:393465025 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 I TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR SD WVD POLICY NUMBER MMIDDIYYYY MMID A X COMMERCIAL GENERAL LIABILITY Y TC2J-GLSA-1 005A1 29-TI L-18 12/1/2018 1211In19 EACH OCCURRENCE $1.000.000 CLAIMS-MADE �OCCUR PREMISES TO RENT some $1.000.000 MED EXP(Any one erson $10,000 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5.000.000 X POLICY❑JEC LOC PRODUCTS-COM Plop AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY TC2J CAP-10U5A130.TIL-18 12/7/2018 12/1/2019 E$aWden $2,000,000 x ANY AUTO BODILY INJURY(per parson) $ ALLOOWNED SCHIEEDULED BODILY INJURY{Per nocidenQ S AUTOS X HIREOALnOS A NON-OWNED PROPER AGE S AUTOS Per aocidani I 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DER I I RETENTION$ $ B WORKERS COMPENSATION TC21C UB-1005A105-18 12/1/2018 1211/2019 x STATUTE 'ETRH- B AND EMPLOYERS LIABILITY YIN TRK-US-1005A117-18 12/1/2018 1211/2019 ANY PROPRIETORIPARTNERIE7(ECUTIVE NIA E.L.EACH ACCIDENT $1,o00,D00 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$1,000,000 if yes,descdba under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT 1$1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached Irrnore space Is required) Orange 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 27616 rAUTHORIZED REPRESENTATIVE �AywyG ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD