HomeMy WebLinkAboutSTEVE BEITZ TRUCKING - INSURANCE CERTIFICATE12/11/2007 12 21 9705660979 STEVENS INSURANCE AG PAGE 01
ACORD CERTIFICATE OF LIABILITY INSURANCE izi1l�"1/ 007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 21 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
WELLINGTON, CO 80549
970-568-0980 INSURERS AFFORDING COVERAGE NAIC0
mwRW STEVE BEITZ TRUCKING LLC INSURERA COLONY INSURANCE COMPANY
4640 E COUNTY RD 66
WELLINGTON, CO 80549
,970-227-5885
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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
tl1iP
POSIOY NUMBER
POUOY EFFECTIVE
MwDOM!
PO..YE%pUUT10N
T
UMIT6
GENERAL
UABBITY
EACH OCCURRENCE
$• / 006
X
CUMMERCVV.GENERALLIABIUTY
PREMLSE9(Ea DCoaANEa
$1 I 0
CLAIMSMAOE FXI OCCUR
NEOEXP(ADTonePereoni
$ / uo—
A
X
ACC1426326
02/14/07
02 /14 /08
—PER-1 SADVINJURY
$1,000,000
GENERAL AGGREGATE
/ / 0
GENLAGGREGATELINIT
APPLIESPER
PRODUUM-COMPIOP AGO
{ / , ffw
POLICY
PRO- LOC
AUTONORS.EUABEJTY
COMBINED SINGLEUMR
$1, 000, 000
ANYAUTO
IES.wwwtl)
BOUILYINJURY
Lpw Wl )
{
ALLOVJNEDAUTOS
SCHEDULEDAUTOS
X
B
X
HIREDAUTDB
NON-OWNEOAVTOB
05644303-0
02/14/07
02/14/08
BODILY INJURY
(pwYWdm1)
3
PROPERTY DAMAGE
(puaTadIRL1
3
MADE LIAIILTTY
AUTOONLY-EAACUDENT
{
OTHERTHAN EAACC
$
ANVAUTO
3
AUTOONLY AGG
E%CESSRIMBRELLA L4MR-ITY
EACH OCCURRENCE
$
OCCUR F—lCi-AIMSMADE
AGGREGATE
3
f
$
DEDUCTIBLE
$
RETENTION $
VAIRI$ERSCOLIPENSATIONANO
A U- H
EMPLOYERS LIABILITY
r nnooREiORpuftN6Muwme
EL EACH ACCIDENT
$
EL DISEASE EA EMPLOYEE
3
oH+c�nne.nen Erewoem
IIIIea OaeTDb•u�wA.
SVE$ ALPROVNHDNS below
EL PISEq$E POLICY 4IMIT
f
OTHER
DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLESI EXCLUSIONS ADDED BY ENDOREEMENT/ SPECIALPROVISIONS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED
CITY OF FT COLLINS
PURCHASING
P O BOX 580
FORT COLLINS, CO 80522
FAX: 970-221-6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFd$S THE E%P ON
DATE THEREOF THE ISSUING INSURER PALL ENDEAVOR TO MAIL 30 SAYE v,wTteN
NOTICE TO THE CERTIFICATE HOLDER NAMAD TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR