HomeMy WebLinkAboutCORRESPONDENCE - BID - 5747 METER BOX INSTALLATION G J WAGNERCommercial Certificate of Insurance
FARMER 5
Agency • Jim Beemer Agency
Name . 2705 W loth Street
Issue Date (MM/DD/YY) 04/28/03
& • Greeley, CO 80634
Address
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
St. 07 Dist. 04 Agent 356
coverage afforded by the policies shown below.
'
Companies Providing Coverage:
Insured
company A Truck Insurance Exchange
. G&J Wagner Enterprises Inc.
Letter
Name . Wagner Lawn Care
Company B Farmers Insurance Exchange
& • PO Box 397
tter
company C Mid -Century Insurance Company
Address • Red Feather Lakes, CO 80545-0397
Letter
Company
Letter
Coverages
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.
Co.
Ltr.
Type of Insurance
YP
Policy Numb
Y Number
Policy Effective
Date (MWDDn'v)
Policy Expiration
Date (MWDDm)
policy Limits
A
X
General Liability
045903234
5/5/03
5/5/04
General Aggregate
$ 11000,000
Products-Comp/OPS
Commercial General
Aggregate
$ 1,000,000
Liability
Personal &
- Occurrence Version
Advertising Injury
$ 1,000,000
Contractual - Incidental
Each Occurrence
$ 1,000,000
Ordy
Fire Damage
(Any one fire)
$ 100,000
Owners & Contractors Prot.
Medical Expense
(Any one person)
$ 5,000
Automobile Liability
Combined Single
All Owned Commercial
Limit
$
Autos
Bodily Injury
Scheduled Autos
(Per person)
$
Hired Autos
Bodily Injury
(Per accident)
$
Non -Owned Autos
Garage Liability
Property Damage
$
Garage Aggregate
$
Umbrella Liability
Limit
$
Workers' Compensation
Statutory
and
Each Accident
$
Disease - Each Employee
$
Employers' Liability
Disease - Policy Limit
$
Description of OperationsNehicles/Restrictions/Special items:
Certificate Holder
Cancellation
. City of Fort Collins
Should any of the above described policies be cancelled before the expiration date
Name . Attn: Christine --Purchasing Department
thereof, the issuing company will endeavor to mail 30 days written notice to the
& • PO Box 580
certificate holder named to the left, but failure to mail such notice shall impose no
Address • Fort Collins, CO 80522
obligatio fiability of any kind on the company, its agents or representatives.
Auth Representative
56-2492 4-94 Copy Distribution: Service CenWr Copy and Agent's Copy H.ol