HomeMy WebLinkAboutSCHRADER OIL - INSURANCE CERTIFICATE (3)w x 1W
X.,
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5701 W. Talav! Boulevard
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Glendale, AZ 85306
COMPANIES AFFORDING COVERAGE
Phone: 1-888-333-4949
COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
Home Office: Owatonna, MN 55060
A FEDERATED SERVICE INSURANCE COMPANY
INSURED
SCHRADER OIL CO
314-627-1
COMPANY
PO BOX 495
COMPANY
FORT COLLINS CO 85022
C
COMPANY
My
140"00F ITNEW F .15 IR
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.
CID
OF INSURANCE
POLICY NUMBS
POLICY
POLICY EFFECTIVE
POLICY EXPIRATION
DATSIMMUDDI'"I
LIMITSTYPE
GENERAL
LIABILITY
GENERAL AGGREGATE
4 2.0w.ow
X
PRODUCTS - COMP/OP AGO
s 2000000
COMMERCIAL GENERAL LIABILITY
A
::1 CLAIMS MADE Fx] OCCUR
9802184
0&30/07
06/30/08
—
PERSONAL & ADV INJURY
1 1.
—
EACH OCCURRENCE
s 1.0w,000
OWNER'S 6 CONTRACTOR'S PROT
FIRE DAMAGE JAny we fire)
6 100 000
MED EXP (Any one person)
$
AUTOMOBILE
LIABILITY
X
ANY AUTO
COMBINED SINGLE LIMIT
$ 1'0w'000
ALL OWNED AUTOS
A
SCHEDULED AUTOS
9802184
06/30/07
06/30/08
BODILY INJURY
[Per person)
HIRED AUTOS
x
NON
BODILY INJURY
-OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
►
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
I
AGGREGATE
-
EXCESS LIABILITY
EACH OCCURRENCE
s 4,000,000
A
1 UMBRELLA FORM
9802185
06/30/07
06/30/08
AGGREGATE
s 4W ,O,OW
1
OTHER THAN UMBRELLA FORM
11
WORKERS COMPENSATION AND
STATU I 10TH
EMPUOYERS'UAINLITY
TVOVC
R, ,L IMITS I I ER
EL EACH ACCIDENT
6PARTNERS=TiVE
THE PROPRI
EL DISEASE - POLICY LIMIT
$
INCL
OFFICERS ARE: 1111 EXCL
EL DISEASE - EA EMPLOYEE
*
-1
OTHER
DESCRIPTION OF OPERgT1ONMOCATIONSIVEHICUESISPECIAL ITEMS
81 -'in 3148211 57 7,
CITY OF FORT COLLINS
65 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PO BOX 580
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAUL
FORT COLLINS CO 80522
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLM NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LLMBUTy
OF ANY KIND UPON THE COMP ITS AG On REPRESENTATIVES.
AUTHORIZED REPRESEN TI
Cert Acct: 314-627-1 65
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS Co 80522