CTR076783.M25-0004_Certificate_of_Insurance_Landscape_Maintenance_FMON___RV_Park.pdf

PDF 17 KB Posted

Attached to
Master Agreement AZ|CTR076783
Contract number
CTR076783
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued on 3/4/2025 for Titan Landscape Management, Inc. and Praying Mantis Pest & Weed Control, Inc., located in Prescott, Arizona. The insurance is provided by PFS Insurance Group and underwritten by Employers Mutual Casualty Company. The certificate covers multiple types of insurance, including commercial general liability, automobile liability, umbrella liability, and workers' compensation.

The insurance policies are effective from 3/1/2025 to 3/1/2026, with various coverage limits. Commercial general liability has a $1,000,000 each occurrence limit and a $2,000,000 general aggregate limit. Automobile liability provides a $1,000,000 combined single limit, while the umbrella liability offers $2,000,000 in coverage for each occurrence and aggregate. Workers' compensation includes $1,000,000 for each accident, disease per employee, and disease policy limit. The certificate is marked "For Informational Purposes Only" and does not constitute a contract or confer specific rights to the certificate holder.

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Text version

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE

$AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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 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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

The ACORD name and logo are registered marks of ACORD

3/4/2025

(928) 237-5100 (970) 635-9401

21415

Titan Landscape Management, Inc.

Praying Mantis Pest & Weed Control, Inc.

6392 Lear Lane Prescott, AZ 86301

A 1,000,000

BBC2615 3/1/2025 3/1/2026 500,000

10,000

1,000,000 2,000,000 2,000,000

1,000,000A 6E70468 3/1/2025 3/1/2026

2,000,000A 6J70468 3/1/2025 3/1/2026 2,000,000

10,000 A

6H70468 3/1/2025 3/1/2026 1,000,000 1,000,000 1,000,000

For Informational Purposes Only

TITALAN-01 MAYRES

PFS Insurance Group 1871 E State Route 69 Prescott, AZ 86301

Gerald Szostak geralds@mypfsinsurance.com

Employers Mutual Casualty Company

X

X X

X X

X

X X

X

X

X

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