HomeMy WebLinkAboutALARIDS TRUCKING - INSURANCE CERTIFICATE05/06/2004 08:10 TRUCKERS EQUITY 4 19702216707
ACORD CERTIFICATE OF LIABILIi
PRODUCER
Truckers' Equity Agency, Inc.
Mary L. Belleville
P.O. Sox 741090
Arvada CO 80006-1090
Phone:303-430-5725 Fax:303-430-7698
Alarid'sTrucking
Jim Alarid
3816 Chnook Lane
Fort Collins CO 80525
Y INSURANCE OP ID 0 DATE(MWMYYYY)
ALARTRl 05 06/04
THIS CERTIFICATE IS 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 #
INSURER A: BinatYotd IAsumnm Company
INSURERS:
INSURER C:
INSURER D:
INSURER E:
v 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 LW ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CW MS.
LTR
N
RA TYPE OF INSURANCE
POLICY NUMBER
DATE MIDDI N
RAVON
DATE MOLICYMMODOOWY
LIMITS
GENERAL UANUTY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
EACH OCCURRENCE
S
PREMISES E9 occuTerKe
$
MED EXP (My one Pereon)
$
PERSONAL & ADY INJURY
S
GENERAL AGGREGATE
&
GEML AGGREGATE LIMIT APPLIES PER:
POLICY jECT LOC
PRODUCTS - COMPIOP AGO
i
}L
AUTOMOBILELIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
TAP716687
05/05/04
05/05/05
COM8INED SINGLE LIMIT
(ESSeddWO
51000000
BODILY INJRY
YI
S
X
BODILY INJURY
(Per BmdalQ
$
PROPERTYDAMAGE
$
GARAGE LIABILITY
ANYAUTO
1
ALTO ONLY • EA ACCIDENT
$
OTHER THAN EAACC
AUTO ONLY: AGG
S
S
EXCESSAIMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
I
EACH OCCURRENCE
S
AGGREGATE
$
S
S
$
WORKERS COMPENSATION AND
EMPLOYERS' LIA61Lin
ANY PROPRIETORIPARTNERIFJ(ECUTIVE
OFFICERAGNSER EXCLUU=Uf
If yes, dosmbe under
SPECIAL PROVISIONS below
TORYIMITS ER L
E.L. EACH ACCIDENT
$
E.L. DISEASE • FA EMPLOYE
S
E.L. DISEASE -POLICY LIMIT
fa
OTHER
T_
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVSIONS
CiTYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF FORT COLLINS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LOST, BUT FAILURE TO DO SO SHALL
SAX 970-221-6707 IMPOSE NO 06LIDATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 N MASON ST 2ND FLOOR
FORT COLLINS CO 80524 REPRESENrwnVPs.
IMary L. Belleville N 1
Arnon �r /9nn0IMRl