HomeMy WebLinkAboutT J TRUCKING - INSURANCE CERTIFICATE (3)JU L. L. LVVJ L•JJI IYI UTT 11IJVRMI'It,L MUENUT — IY V. V''
IAcsnuf, (L;EK I If ICA it UN LI,AMLITY INSURANCE
'. IIMMIDDM/YY1
05/26/2005
PRODUCER (970) 223-0924 FAX (970)267-2231
BW Insurance Agency, Inc,
1075 W Horsetooth Rd, Ste 100
Fort Collins, CO 8OS26
THIS CERTIFICATE 15 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 T & J Trucking, Inc.
8739 N. Taft Hill Rd.
Fort Collins, CO 80524
INSURERA: Columbia In/Swett Ins Mngrs
INSURERS:
INSURERC:
INSURER D:
INSURER E:
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.
DISK
ADD1Jim
TYPE OF INSURANCE
POLIOY NUwMeR
POLICY EFFECTIVE
POLICY EXPIRATION
LIMfB
GENERAL LUIBIUIY
EACH OCCURRENCE
S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ODOUR
DAMAGE TO RENTED
NEDSCP (Any one person)
S
S
PERSONAL& ADV INJURY
$
GENERAL AGGREGATE
S
GEN'LAGGREGATE LIMIT APPLES PER
ri POLICY jE%'j LOD
PRODUCTS -COMP/OPAGG
S
AUTOMOBILE UJUN TY
ANYAUTO
71TRN308999
05/26/2005
05/26/2006
COMBINED SINGLE LIMIT
(Ea *Wdonl)
S
11000,000
,000,00
A
ALL OWNED AUTOS
X SCHEOULEDAUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
BODILY INJURY
(Par person)
BODILY INJURY
(Per eee7dent)
S
PROPERTYDAMAGE
(Por aecldent)
S
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
S
ANY AUTO
OTHER THAN EA ACC
ALTOONLY;NLV: AGG
S
S
FICCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
i
AGGREGATE
$
S
DEDUCTIBLE
$
RETENTION 1
S
WORKERS COMPENSATION AND
WCOTH-
EMPLOYERS LIABILITY
E.L. EACH ACCIDENT
S
ANY PROPRIETORRMARTNER10SCUr"VE
OFFICERNIEMBER EXCLUDED?
BUESNAL ROVISIONS below
E,L• DISEASE • FA EMPLOYEE
S
E•LDISEASE -POLICY LIMIT
S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Fort Collins
attn: James O'Neil
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER MAMBO TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
AUTHORIZED
ACORD 25 (2001106) FAX: (970)224-6134 IF CACQVD CORPORATION 1988