HomeMy WebLinkAbout320027 O'NEILL TRUCKING LLC - INSURANCE CERTIFICATESent By: 0MS ENTERPRISES, INC; 3036971699; Mar-7-07 9:31AM; Page 1/1
AC"R r. CERTIFICATE OF LIABILITY INSURANCE
°"vz 1200F
PRODUCER
High Country Truck IDsursnce 303�976099
THIS CERTIFICATE IS ISS ED AS A MATiER''.OP INFORMATION
ONLY AND CONFERS N RKiRTS UPON THE CERTIFICATE
P.O. BOX 659
HOLDER. THIS CERTIFICATE DOES NOT AMEND; E%TEND OR
Morrison CO 88485
ALTER THE Cp1/ER8GE AFFORDED BY THE POLICIES 91F.LOW.
INSURERS AFFORDING COV RAG$ NAIC A
INSURED
O'NEILL TRUCKING LLC
INSURE,RA: CORNHUSKER CASUALTY'CO,
12378 N. CO, RD, 7
INSURER B:
WELLINGTON, CO 80549
INSURER C.
,INSURER D: _
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMFn ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OP 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 TERM%EXCLUSIONS
AND CONDITIONS
OF SUCH
POLICIES. AGGREGATE LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY pan rA.AIMS.
wM POLICY NUMBER IOLICY EFP ME POLICY E]PIRATIOH
-
LBRIIs
kA(:H OCCURRENCE
$ ..
GENERAL UABKITY
(:LkAMERCIAL GENERAL LIAii1Ll1 Y
CLAIMS MADE DCCUR
_.
P MMI� arwpn
...
_
..._.
M@Q EXP IIUty mle person)
$
T........ .. .
PERSONAL 6 ADV INJURY
$
. .....—
GENERAL AGGREGATE _
I
GEN'L AGGREGATE LIMIT APPLIES PER.
PAODUC16 - CWPMP AGG
_
i $ 00000000000
MhIDY P LOL:
A
wrDMpe1LE
LIABILITY
COAgUW37
2128/2007
2128/2008
COMBINED SINGLE LIMIT
! 1,DOD,000
ANY AD IU
PHY/DAM 1,Onn OF
(EA apl! E
AIL OWNED AUTOS
X
BODILY IN.MRY
!
SCHEDULED AUTOS
IPRr person)
AIREDAUTOS
BODILY INJURY
i
NON[T"/NED AUTOS
j(PPr xdaFnO
•....
PROPERTY DAMAGE
$
(Pel 8q:aanl)
;I AUTO ONLY •EA ACCIUENI
f
GARAGE LWEIUTY
ANY AUTO
'OTHER MAN EA A C
! ,
IAUTOONLY:
-
EXCESSNMBRFILALIIABILITY
EACH OCCURRENCE
i
17
OCCUR CLAIMS MADE
!AGGREGATE
f
$
................_
S ..
DEDUCTIBLE
I
RETENTION $
$
WORKERS COMPENSATION AND
I WCSTATU- GYH-
EMPLOYFRS' LIABILITYImr
- -
ANYPHOPRIETMPARTNFRIEXECUTIVE
'E.Ly EAOH ACCIDENT
S
OrrtCF_WMEMOEk EXCLIJUP.01
L. DISEASE - CA EMPLOYE[
!
aYas . OeevIOP unpN
iE .. ......._.—
_.,.
SPECIAL PkOYISIONs xww
'E.L. DISEASE - POLICY LIMN
i
OTHER
DESCRIPTION OF OPERATIONS! LOCATIONS! VENICLES 1 FRCL USIONS ADDEO BY ENDORSEMENT I SPECIAL PROVIWON$
CERTIFICATE HOLDER IS NAMED ADDTIONAL INSURED
CITY OF FT. COLLINS
215 N. MASON ST.
FT.COLLINS, CO 80529
970-221-6707
SHOULD ANY OF THE ABOVE DESCRIBE
DATE THEREOF, THE MOVING iNSUREI
NOTICE TO THE CERTIFICATE HOLDER
IMPOSE NO OBLIGATKON OR LIABILITY
RJCIES BE CANCELLED BEFORE THE EmRAnON
.L ENDEAVOR TO MAIL 10 DAYS WRITTEN
ED TO THE LEFT, OUT FAILURE TO DO BD $RALL
ANY HIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001108) i ; ®ACORV CORPORATION 1988