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Home My WebLink AboutT AND J TRUCKING - INSURANCE CERTIFICATE (2)Date: 2/24/06 Time: 3:58 PM To: ® 91970.569.7183 Pinnacol Assurance Page: 002-003 EENVER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY l Assurance AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS Lowry Blvd CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE CO 80230-7006 AFFORDED BY THE POLICIES BELOW. A TR TRUCIQNG INC 8739 NORTH TAFT HILL ROAD FORT COLLINS CO 80524 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 19 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I m I TWEOPIN9I81 i PoIJCYNU m 1 POIJCYF rn i POIJ(YP MTION 1 mim I I awm® slwE I,,,I omlL owxErce • mMw�crort'9 PDDr naE oAelAOE N®E%P TOMOHIIELUIHIIJT9 ANY AUTO ALLOWN[DAVTOH BCHIDULFD AUfOH NIRFD AUTU9 BOUa.Y INAA[Y Bma,Y INAIM NON-O WAVIOS IMOL IJABILI'fY ANYAUTO QCETi LWa1TY EACN02SIFlEN� VMBR[i.lA POEM AOUREdITE ........................... .. ........................ WON16aTCCEIIENfATIONAND WCSfATU- OTXFA PMPL M'LI WMT TOWfI = A 4054162 03/01/2005 03/01/2006 EL AcOmm .100 000 TNEncrn UGRWMrNEW INO. ELOITTA2E POIJC Uw 00000 MUM DESQIIPTION m oP TNNR/IOC TJQWryHNCLMiPOC1A1 VR SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kristin Trujillo STPlM uU &"W oza4m 0359.0 I Ia updM: IN1NIM a.z.W IM1 m EB, 24. 2005 8;13AM. COMMUNITY FIRST INS NO. 19 �A-•osN A.EI% III •ICA e v %or Lihom-ITY INSURANCE Community First insurance, Inc. 1075 W Horsetooth Rd, Ste 100 Fort Collins, CO $0526 David Austin $2360 DBA: TO Trucking 8739 N. Taft Hill Rd. Fort Collins, CO 605Z4 COVERAGES INSURERS AFFORDING COVERAGE INSURER B! E NAIL N THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WDICATED, NOTWITHSTANDIPi 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 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. TYPEOPI/SURANCE I POII I LIMIT@ GENERAL LIABILITY COMNERCYIL GENERAL LIABLITY CLAIMS MADE F7 OCCUR EACH OCCURRENCE S TE i I MED OW Om mi pa n) PERSONAL IADV INJURY i ' GENERAL AGGREGATE S GEN'L AGGREGATE URMoRAPPLIES PER: POLICY pECT LOC PROGUCTS-COMP/OPAGG i AUTOMIONALIAMLITY ANY AUTO ALL OWNEDAUTOS NXH 1151/7519 OS 6/2004 OS 6/2005 COMIRMEO SIMGLE LIMrr (EA- nO i 1 000, A X SCMEWLWAUTOS X HIRWAUTOS URY BODwperem)EYIOA) tP S X MON-DWNEDAUTOS BDDS.Yds 1� adds"" i PROPERTYDAMAGE i GARAGE LIAMLRY ANY AUTO AUTO ONLY -EAACCIDENT I OTFIER THAN EA ACC Aura ONLY: AGO i I OW46I ONtSLUA UATILnY OCCUR CLAIMS MACE EACH OCCURRENCE I AGGREGATE I 3 OEDUCTIB4E RETENTION I S i woRNlRi OOMPpNBAl10111 AND MPLUTERI' UAMILITY F.LEACHACCOENT I AN PROPRIETORaPARTNEFECUTNE OF ICERIMBiAIeRp(CLUDED9 E.L. DISEASE-W EMPLOYE i Sy�As�,, dowlbe Un"r SPECLAL PRMSIGNE bvbw E.L. ORRIABE •POLICY LIMB i OTHER DESCRIPTION OF OPMMTIONI / LOCATION I VIINCIBB / EORLUMN6 ADDED BY ENDORSEMENT/ SPWIAL PROYMONB CEItTIRICAT'F MfM npw City of Fort Collins lamas O'Neil PO Box SBO Fort Collins, CO 605ZZ-05SO SWULD ANTOP TIMABOV! DESCRMNm POUOIW !E CANCBLLED BEFORETH! EXPIRATION DATE THEREOF, THE WSUMG INBURFR IRLL ENDOAVOR TO MAN, -A,9— DAYS VWTTMN NOTICE To THE OMUTIFMATB "CLOCK NAMED TO THE LIST, MR FAILURE TO MAIL OUON NOTICE SMALL I EWES NO OEUNBATION OR LHMMUTY ACORD 25 (20Bime) FAX: (970)224-6134 CORD CORPORATIOm im