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2019-657-E DEAPR - Bartlett Tree Experts Blackwood Farm Park
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2019-657-E DEAPR - Bartlett Tree Experts Blackwood Farm Park
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Last modified
9/26/2019 10:17:42 AM
Creation date
9/26/2019 9:30:49 AM
Metadata
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Template:
Contract
Date
9/23/2019
Contract Starting Date
9/23/2019
Contract Ending Date
11/3/2019
Contract Document Type
Contract
Amount
$2,502.00
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R 2019-657 DEAPR - Bartlett Tree Experts Blackwood Farm Park
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID:9CF98C50-560B-4CBA-B5DB-DA941575C615 <br /> Ac p� CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIVYYYI <br /> 164— � 1 10/31/2018 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsements. <br /> PRODUCER CONTACT <br /> NAME: <br /> York International Agency, LLC PHONE g14-378-2200 Fax 914-376-2$91 <br /> Attn. bartlettcert@yorkintl.Com E-MAIL <br /> 500 Mamaroneck AvenueADDRESS' <br /> Harrison NY 10528 INSURE 5 AFFORDING COVERAGE NAIC# <br /> INSURER A;Travelers Property&Casualty Co of 25674 <br /> INSURED INSURER a;Travelers I nde m n ity Cam pan 25858 <br /> The F.A.Bartlett Tree Expert Company INSURER c; <br /> 1290 East Main Street <br /> Stamford CT 06902 JNSURER D; <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER-1966006783 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR 7'1'PE OF INSURANCE ADDLISUBRI POLICY EFF POLICY EXP LIMITS <br /> L7R iNSD WVD POLICY NUMBER MMIODNYYY MM}DDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY T=-GLSA-1005A129-71L-18 12/1/2018 12/1/2019 EACH OCCURRENCE $1,000,000 <br /> CLAIMS MADE OCCUR DAMAGE TO RENTED $1,0OO,000 E SES Ea occurrence <br /> MED EXP An one person $10.000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000.000 <br /> X JE LOC PRODUCTS $2,000,000 <br /> POLICY❑ <br /> OTHER' $ <br /> A AtI70M881LE LIAeIL[TY TC7J CAP-1Q05A13Q TIL-18 121112018 12/1/2019 Ea socldent $2.000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A AUTOS <br /> ALL <br /> OWNEDED SCHEDULED BODILY INJURY(peraccldenl) S <br /> NON-OWNEE) PROP R 5ATriA-61E <br /> X HIRED AUTOS Ix <br /> AUTOS Per accident $ <br /> _.. $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LFAB CLAIMS-MADE AGGREGATE _ S <br /> OEO I I RETENTIONS M $ <br /> B WORKERS COMPENSATION TC2K UB-1005A105-18 12/1=18 12/1/2019 STATUTE LE <br /> B AND EMPLOYERS'LIABILITY YIN TRK-UB-1005A117-18 121112018 12/1/2019 <br /> ANY PROPRIETORIPARTNEWEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $1.000.000 <br /> OFFICERIMEMBER EXCLUDED? <br /> {Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $1.000.000 <br /> f yyees,descrfbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Add Ili onaI Remarks Schedule,may be altached it more space is required) <br /> Proof of Insurance, <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved, <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />
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