HomeMy WebLinkAbout359019 LITTLE BOYS TRUCKING LLC - INSURANCE CERTIFICATE (13)PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Pinnacol Assurance
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
7501 E Lowry Blvd
CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE
DENVER CO 80230-7006
AFFORDED BY THE POLICIES BELOW.
INSURED
LITTLE BOYS TRUCKING. LLC
2302 STANELY CT
FORT COLLINS CO 80526
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 AND 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.
M TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E.XPRATION LIMITS
LTR DATA DATE �BV
GENERAL LIABILITY GENERAL AGGREGATE
('OMMERCIAT. GENERAL LIABILITY PRODUCCS COM"OPAGG
CLAINIS MADE OCCUR PERSONAL & ADV MJURY
OWNER'S & CONTRACTOR'S MOT EACH OCCURRENCE
MED E%P
70MOBME LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRER AUTOS
COMBINED SIN(
BODILY INJURY
wN
BODILY INJURY
NON -OWNED AUTOS
IIAGE LIABILITY
ANY AUTO
CMS LIABILITY
UMBRELLA FORM
WORKERS COMPENSATION. AND I I I O{I WC WEST TIT` u OTHER
EMPLOYERS' LIABILITY Ir
A I R 4046273 07/01/2003 01/01/2004 EL EACH ACCIDENT 100 0OOO
00
THE PROPRIETORFPARTNERS; INCL EL DISEASE - POLICY L]ART 50O
EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $100,000
OTHER
DESCRIPTION OF OPIULk"ONSILOCATIONSR'EAICLESOSPWIAL ITEMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
763W
CITY OF FORT COLLINS STREETS DEPARTMENT
580
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVE
AUTHORIZED REPRESENTATIVE
Arnold Dowd
DGPOAUND UWe fifer 05114!0410.11 40 4L TO Uprt 12;mFm 12:WW II m
CERTIFICATE HOLDER COPY
CITY OF FORT COLLINS STREETS DEPARTMENT
580
FORT COLLINS CO 80522
POLICY NUMBER: 4046273
BUSINESS LOCATION: LITTLE BOYS TRUCKING, LLC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
722805 TRUCKING --LOCAL HAULING ONLY & DRIVERS
881005 EXCLUSIVELY OFFICE
COVERAGE
COVERAGE
RATING
EFFECTIVE
EXPIRES
TYPE
07/01/2003
07/01/2004
EM
07/01/2003
07/01/2004
EM