HomeMy WebLinkAboutSAURINI ENTERPRISES - INSURANCE CERTIFICATEDECLARATIONS FOR A BUSINESS AUTO
AMENDED 05/15/07
ITEM ONE Named Insured and Address
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Page
Policy No: CPCO 6768208 6
Producer Name and Address
1
SAURINI ENTERPRISES INC PEGGY ANN MCCABE
6801 COLORADO BLVD 7050 WEST 120TH AVE STE 30
COMMERCE CITY CO 80022 BROOMFIELD CO 80020
Producer Code: Broker:
Report Basis: ANNUAL
Policy Period: From 08/20/06 to 08/20/07 at 12:01 A.M. Standard Time at your mailing address shown above.
Insurer Company and Code: 10243 NATIONAL CONTINENTAL
Named Insured's Business: 6 ICE CREAM SALES 80022
Form of Business: CORPORATION *ADDITIONAL PREMIUM $0
*This policy may be subject to final audit.
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE
WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY
ITEM TWO
SCHEDULE OF COVERAGES AND COVERED AUTOS
This policy provides only those coverages where a charge is shown in the premium column on the covered autos schedule. Each of these
coverages will apply only to those "autos" shown as covered "autos." "Autos" are shown as covered "autos" for a particular coverage by
the entry of one or more symbols from the COVERED AUTO Section of the Business Auto Coverage Form next to the name of the
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COVERED AUTOS
LIMIT
(Entry of one or more of the
COVERAGES
symbols from the COVERED AUTOS
THE MOST WE WILL PAY FOR ANY ONE
Section of the Business Auto
ACCIDENT OR LOSS
Coverage Form shows which autos
are covered autos)
LIABILITY
750,000 CSL
7
PERSONAL INJURY PROTECTION
Separately stated in each PIP endorsement
(or equivalent No-fault coverage)
ADDED PERSONAL INJURY PROTECTION
Separately stated in each added PIP endorsement
(or equivalent added No-fault coverage)
PROPERTY PROTECTION INSURANCE
Separately stated in the P.P.I. endorsement
(Michigan only)
AUTO MEDICAL PAYMENTS
UNINSURED MOTORISTS
7
CSL
500,000
UNDERINSURED MOTORISTS
(When not included in Uninsured
Motorists Coverage)
PHYSICAL DAMAGE
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
COMPREHENSIVE COVERAGE
IS LESS MINUS $ Ded. FOR EACH COVERE
AUTO. BUT NO DEDUCTIBLE APPLIES TO LOSS CAUSED
BY FIRE OR LIGHTNING. See ITEM FOUR for hired or
borrowed "autos."
PHYSICAL DAMAGE SPECIFIED
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
CAUSES OF LOSS COVERAGE
IS LESS MINUS $ Ded. FOR EACH COVERED AUTO
FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. See
ITEM FOUR for hired or borrowed "autos."
PHYSICAL DAMAGE
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
COLLISION COVERAGE
IS LESS MINUS $ Ded. FOR EACH COVERE
AUTO. See ITEM FOUR for hired or borrowed "autos."
PHYSICAL DAMAGE
$ for each disablement of a private passenger auto.
TOWING AND LABOR
(Not available in California)
UPDATE DRIVER SCHEDULE. ADD DRIVERS 363-374.
AMEND DRIVER #360 DEBBIE HARRIS LICENSE TO IOWA.
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DECLARATIONS FOR A BUSINESS AUTO
Page 2
FORMS AND ENDORSEMENTS CONTAINED IN THIS POLICY AT ITS INCEPTION: SEE SCHEDULE
ATTACHED
FILINGS
MISCELLANEOUS FILING 30-DAY NOTICE OF CANCELLATION
OTHER CHARGES INCLUDED WITH POLICY TOTAL PREMIUM
COUNTERSIGNED 05/15/07 BY
CA DS 03 02 04
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