HomeMy WebLinkAboutDEGROOT TRUCKING - INSURANCE CERTIFICATEFROM :FIRST NRT AGENCY FRX NO. :719 775 2849 Mar. 10 20705 02:41PM P1
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AC-0-To--31/1o'z""5RDR, CERTIFICATE OF LIABILITY INSURANCEDAB
PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION
First National Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1030 ALTER THE CO RAG AFFORDED eY THi: POLICIES BELOW.
790 Main Street (Garden Level) INSURERS AFFORDING COVERAGE
Limon Co 80828 -
INSURED INSURER Ar Northland Insurance CO n
DeGroot Trucking, INC. INSURERS:
6750 W, County Road 100 INSURER CI
PO Box 600 INrURAR D:
rnvcaenca
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 LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
an IMMIDDIYn
06/23/2004
/ /
POLICY EXPIRATION
06/23/2005
/ /
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENER�A. LIABILITY
CLAIMS MADE 1K OCCUR
_
TH434134
EACH OCCURRENCE
$ 2,000,000
FIREDAMAOE An one Me
$ 50,000
MED EXP (Any one aeon
S 5,000
PERSIONALaADVINJORY
$ 2,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER,
POLICY LOC
PRODUCTS-COMP/OP AGO
$ 2,000,000
A
AUTOMOWLELIABILITY
ANY AUTO
ALLOWNEDAUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
TH434134
06/23/2004
/
I /
06/23/2005
/ /
/ %
COMBINED 81451.-E LIMIT
(Ee noddent)
1,000,000
BODILY INJURY
(Por person)
E
X
X
BODILY INJURY
(Per nooWent)
S
X
PROPERTY DAMAGE
(Per soddenl
GARAGE LIABILITY
ANY AUTO
I f
f /
AUTO ONLY - EA ACCIDENT
i
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
E%CE68 LIABILITY
OCCUR CLAIMS MADE
DFOUCTOLE
RETENTION S_
I /
% /
PAC ❑ ENCE
S
AGGREGATE
$
S
S
EMPLOYER&' MP INISATION AND
F..L. EACHACCIOENT
S
E.L. DISEASE -EA EMPLOYEE
S
E.L DISEASE -POLICY LIMIT
$
A
OTHER
NON Owned Trlr PD
CargoI
TN434234
06/23/2004
I
06/23/2005
I
PhymiealDomage 45000
I cargo 100000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSWNS ADDED BY ENDOR8EMENTISPECI41. PROVISIONS
Trucking
CERTIFICATE HOLDER I R I ADDITIONAL BI52120' INSURER LETTER: r+F���r r I r"^
SHOULD ANY OF THE ABOVE DESCRI9ED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THGREOF, THE LISUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
City of Ft Collins FAILURE TO DO BO SHALL MbOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PO Box 580 AOENT40RRE 8E A at
AUTN ENT. IVE
Ft Collins CO 80522 a ACORD CORPORATION 1988
ACORD 25.8 (7197) Pegs I o(2
-, INS0258 (9910),01 ELECTRONIC LASER FORMS, INC, • (8001327,0645