HomeMy WebLinkAboutCONNIE CARNES CARNES SERVICE - INSURANCE CERTIFICATEMay-14-04 01:29P P.02
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ACORD. CERTIFICATE OF LIABILITY
INSURANCE
DATE BIMMONYY'I
OS/12/2004
PRODUCER (970) 494-2805
THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
John C. Beckett i Associates, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
220 Smith Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
rt. Collins CO B0524-
INSURERS AFFORDING COVERAGE
RAIC$
INSURED
Lorer>. Colony Insurance C an
Connie Carnes DNA Carnes Service
INSURERS P essive Insurance CO.
INSURER[ FinnaC01 AAS11ranCe CO-
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD 94DICATED. NOTWTHSTANONG ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IAITH RESPECT TO V51I04 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.
THE NSURAMC6 AFFORDED BY THE RCNJCIES LIESt;RIBED HEREIN IS SUBNEC'T IU ALL THE TEAMS. F_ACLUSIUNS AND C'CNDIIICYJS U+ ` tr K"Ikb.
AGGREGATE LMRS SHOMN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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TYPE OF WaUMNCE
POLICY NUMBER
POLI EFFECTNE
DATE OIMIDDNY)
POLICY EXPIRATION
DATEMMODONYI
LIMITS
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GENERAL UABLITY
/ /
/ %
EALN OCCUPPENCE
S 1,000,000
ii EOMMEPiIAI GE NEPa IPNIL I.
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02/27/2004
02/27/2005
DAMAGLTOP. N ED
PPEMISES iLp naoNenre
50,000
MED ESP iA.:ry nne Parmnl
s 5,000
PERSONAL ADa INJURY
6 1,000,000
'tiLNCRALAGGPEGAIL
2,000,000
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AUTOMOBILE LIABILITY
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01550060-0
03/15/2004
09/15/2004
CDMBINFGSINGLE L'MIT
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000,000
A,I 0,NED A1.1105
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BJD4T III
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BODILY INJ014I
(Per ss[Iaenll
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GARAGE UABILITY
AUTO'ONLT EAACCIDENT
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NO COVERAGE
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EXCESSAAARRELLA LIABILITY
NO COVERAGE
EACH OC, 11PP it
AAGREon TT
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PLTLNTIOII S
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IMPIKERS COMPENSATION AND
EMPLOYERS' LIABILITY
PP0POIEIOP:FAPRIFPrF-EL11II1E
4016971
05/11/2003
05/01/2004
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EL EACH ALCIDFNT
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DESCRIPTION OF OPERATONSAOCATIONSMEHCLESEXCLUSIONS ADDED BY EMORSEMENTRPECIAL PROVISIONS
THIS CERTIFICATE HOLDER I5 LISTED AS AN ADDITIONAL INSURED IN RESPECT TO THE GENERAL LIABILITY.
CERTIFICATE HOLDER CANCELLATION
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(970) 407-9494
SHOULD ANY OF THE MOW D92CRBIED POLICIES BE CANCELLED BEFORE !HE
EXPIRATION DATE THEREOF. THE ISSUING INSURER YMLL ENDEAVOR TO MAN
10 DAYS MARTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT
vomm CONCBBTE, INC.
FAILURE TO DO SO SWILL IMPOSE ND OBLIGATION OR LIABILITY OF ANY HIND LION THE
1313 BLUE SPRUCE DEL,
SUITE B
INSURER ITS AGENT$ OR REPRESENTATIVES.
AUTHURIZW REPRESENTATIVE - r A d5
FT. COLL33TS
CO 80524-MC"
ACORD 25 (2001108) ! ACORD CORPORATION 19BS
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