HomeMy WebLinkAboutAMERICAN PRIDE COOP - INSURANCE CERTIFICATEACORDT. CERTIFICATE OF LIABILITY INSURANCE I
DATE(MMIDD/YYYY)
PRODUCER 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
KANSAS FARMERS SERVICE ASSOCIA HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 BOX 1747 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
HUTCHINSON KS 67504-1747
_ INSURERS AFFORDING COVERAGE NAIC#
INSURED AMERICAN PRIDE CO-OP INSURER A:
55 WEST BROMLEY LANE INSURER B:
BRIGHTON CO 80601-3096 C#100013 INSURER C:
INSURER D:
INSURER E:
CAVFRAC:FR
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.
INSR
DD'L
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
CMG
11/01/2003
1110112004
EACH OCCURRENCE
8
DAMA E TO RENTED
PREMISES Ea occuren e
8
COMMERCIAL GENERAL LIABILITY
.850117
CLAIMSMADE SD OCCUR
MED EXP(Any one person).
8
PERSONAL & ADV INJURY
8
rQhTTRArTTTAT
GENERAL AGGREGATE
8 2 non Ono
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
8 9 non, non
PRyPOLICY JEC- LOC
A
AUTOMOBILE
LIABILITY
ANYAUTO
CMG 850117
1110112003
1110112004
COMBINEDSINGLE LIMIT
(Ea accident)
TNrT1 TN CRT.
BODILY INJURY
(Per person)
8
ALL OWNED AUTOS
SCHEDULED AUTOS
i
BODILY INJURY
(Per accident)
8
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
(Peraccident)
8
A
GAR AGE LIABILITY
CMG 850117
1110112003
1110112004
AUTO ONLY -EA ACCIDENT
E
OTHER THAN EA ACC
8
ANY AUTO
8
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
CUL 817017
1110112003
1110112004
EACH OCCURRENCE
8
OCCUR CLAIMSMADE
AGGREGATE
8
8
8
DEDUCTIBLE
8
RETENTION 8
WORKERS COMPENSATIONA.ND
WCSTATU- OTH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
B
E.L. DISEASE - EA EMPLOYEE
8
OFFICER/MEMBER EXCLUDED?
It yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE- POLICY LIMIT
8
A
OTHER
CMG 850117
1110112003
11/01/2004
CSL 1,000,000
COMMERCIALGARD
CARGO 20,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CFRTIFICATF 881*11I IIFR CAIdCFI I ATlllld
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
JIM HUNE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
256 W MOUNTAIN AVE
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS, CO 80521
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 2512001 /08) s'ACORD CORPORATION 1988