HomeMy WebLinkAboutT AND J TRUCKING - INSURANCE CERTIFICATEPRODUCER 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 BFLOW.
INSURED
T & I TRUCKING INC
8739 NORTH TAFT HILL ROAD
FORT COLLINS CO 80524
THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE 11STED 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.
CO I TYPE OF WSURANCE I POLICYNUMBER I POLICY EPPECfIVE I POLICYOLPIRATION I MOTS I
COMMERCIAL GENERAL LIARJUTY
CLAIMSMADE ❑ OCCUR
OWNER'S & CONTRACTOR'S TROT
ANY AUTO COMBINED SIN(
ALL OWNED AUTOS BODILY WR1RY
SCHMULED AUTOS
}IDLED AUTOS BODH.Y INRBiY
NON -OWNED AUTOS azc16m
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LL =y
WC STATU- I I OTHER
JAI � 4054162 � 01/01/1001 I 01/01/2006 CRACCDENT 00 000
THS PROPMETOR'PARTNERS, Rim BL DISEASE- POLICY LIMIT 500,000
EXECUTNE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE SIOO.000
OTHER
DESCREMON OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAH,
816378
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN: JAMES O'NEAL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
FORT COLLINS CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVI
AUTHORIZED REPRESENTATIVE
Kristin Trujillo
SIEMARU CSR Support 02124105 0:59:12 C 54162 Updau : 1211511W 12:W:W UW135