HomeMy WebLinkAboutSTEVE BEITZ TRUCKING - INSURANCE CERTIFICATEACORDrM CERTIFICATE OF LIABILITY INSURANCE
DADDIYYYY)
12/1 1/2007
PRODUCER
STEVENS INSURANCE AGENCY, LLC
PO BOX 27
WELLINGTON, CO 80549
970-568-0980
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
NAIC#
INSURED STEVE BEITZ TRUCKING LLC
4640 E COUNTY RD 66
WELLINGTON, CO 80549
970-227-5885
INSURERA COLONY INSURANCE COMPANY
INSURERD PROGRESSIVE INSURANCE
INSURER
INSURER
1 INSURER E
COVERAGES
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
Lin
Poi
NSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATEMMIDOIYY
POLICY EXPIRATION
DATE(MMIDDMI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1, 000, 000
X COMMERCIAL GENERAL LIABILITY
PREMISES SEaoccurence)
$100,000
f LAIMS MADE111 OCCUR
NED EYP(Any ore Person)
$5,000
A
X
ACC1426326
02/14/07
02 /14 /08
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOPAGG
$ 2 , 0 0 0 , 0 0 0
O
POLICY PRLOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$1, 000, 000
ANYAUTO
(Eaaccldenl)
BODILY INJURY
(Per person)
$ ,
ALL OWNED AUTOS
SCHEDULED AUTOS
X
B
X
HIRED AUTOS
NON OWNEDAUTOS
05644303-0
02/14/07
02/14/08
BODILYINJURv
(Peraccident)
$
PROPERTY DAMAGE
(Peraccident)
$ e
GARAGE LIABILITY
AUTOONLY EAACCIDENT
S
OTHERTHAN EAACC
$
ANYAUTO
$
AUTOONLY AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
S
OCCUR F—ICLAIMSMADE
AGGREGATE
$
8
8
DEDUCTIBLE
S
RETENTION $
WORKERSCOMPENSATIONAND
WGSTATU- OTH
T RY LIMIT ER
EL EACH ACCIDENT
$
EMPLOYERS LIABILITY
ANY eoPNIe T0F,PARTerwEXECunve
E L DISEASE - EA EMPLOYEE
$
oFrlcEAMEM3ER ExcwDED7
Ilyes descnbeunder
SPECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED
u lzmllrll Al❑ IIVLUCR
CITY OF FT COLLINS
PURCHASING
P 0 BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
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REPRESENTATIVE