HomeMy WebLinkAbout320027 O'NEILL TRUCKING LLC - INSURANCE CERTIFICATE (11)Sent By: DMS ENTERPRISES, INC; 3036971699; Feb-22-05 4:19PM; Page 1/1
ACORD,� CERTIFICATE OF LIABILITY IN URANCE °ATE,MMDO/rTl
PRODUCER
Country Truck Insurance 303-697-6099 THIS CE TIFICATE IS ISSUED AS A MATTER OF INFORMATIO
ONLY A 10 CONFERS NO RIGHTS UPON THE CERTIFICAT
P.O. BOX 659 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND 0
Morrison CO 80465 ALTER I 111E COVERAGE AFFORDED BY THE POLICIES BELOV
INSURERS AFFORDING COVERAGE
INSURED O'NEILL TRUCKING LLC -
INOURERA: COLUMBIA INSURANCE COMPANY
INsuRERa, :.
12378 N. CO. RD. 7
INSURER
WELLINGTON, CO 80549 INsuRERo-
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED:I
BOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
RESPLCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ
T TO ALL. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
LLTTRR TYPE OF INSURANCE POLICYNUMER na.Icv EFpEC
.:POLICY EXPIRATXSN UMITS
EACH OCCURRENCE
GENERAL LVMLRT
COMMERCIAL GENERAL UABILITY
FIRE bAMADE (Any one 7xe) 3
CLAIMS MADF I 1 OCCUR
MED EXP (My one person?......
erson?........
. ...
, .
PERSONAL & ADV INJURY $
.....
..
GENERALAGGREGAYE s
GEN'L AGGREGATE LIMIT APPLIES PER:'
PRODUCTS -COMPIOP AGO S
POLICY I PRO
AUTOMOBLE
LMUNLITY
A
ANY AUTO
71TRN275022 2/28/2005
2/28/2006
O BINEDl'INOLEuM1T
(Ed
s ,0,000
100
ALL OVNED AUTOS
X
SCHEPULEDAUTOS
SOOILYINJURY
(Per perwn)
S
HIRED AUTOS
r
NON -OWNED AUTOS
PHY/DAM 1,000 DED
(Prn�Y�+)wY
s
-
PROPERTYDAMAOE
S
(Per ecdtlenl)
OARADE LUISILITY
AUTO ONLY � EA ACCIDENT
S
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
1
EXCESS LMWWTT
EACH OCCURRENCE S
OCCUR CLAIMS MADE
AGGREGATE S
S
DEDUCTIBLE
I
s
RETENTION S
S
WORMERS COMPENSATION AND
TORY LIMITS ER
EMPLOYM V LIABILITY
E.L. EACH ACCIDENT S
E.L. DISEASE -EA EMPLOYEE :
F.I.DIRFARF-P(X,ICYI,IMIT f
OTHER
DESCRIPTION OF OPERATIONSILOCAT"W VEIIICLESIESCLUIPQNS ADDED BY ENDORSEMENTISPECIAL PROVIS
CITY OF FT. COLLINS
215 N. MASON ST.
FT.COLLINS, CO 80529
970-221-6707
SHOULD ANV 01 THE AROVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THERE04 THE 13SWNG INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO TH CERTIFICATE HIX AM f0 THE LEFT. RUT FAILURE TO DO SO SHALL
IMPOSE NO 1IOATION OR L4L/e IT/ Y XBJO UPON THE INSURER, ITS AGENTS OR
AUTHORIZED
C