HomeMy WebLinkAbout364578 MISTLER TRUCKING INC - INSURANCE CERTIFICATE (4)4CORD. CERTIFICATE OF LIABILITY INSURANCE OP ID PC DATE (MMIDDIY Y )
MISTLTR 1 04 23 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Truckers' Equity Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Mary L. Belleville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 417 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Wheat Ridge CO 80034-0417
Phone:303-430-5725 Fax:303-430-7698 INSURERS AFFORDING COVERAGE NAIL#
INSURED INSURER& Wilshire Insurance Company
INSURER B
Mistler Trucking, Inc __-- ---- --- --------- ----
Edward Mistler INSURER
PO BOX 83INSURER D
Nunn CO 80648 --
INSURER E'
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 lIIJ -- - "-' -"'— '- -- ___""' _ _-- — —'"" POLICY EFFECTIVE POLICY EXPIRATION ----"'--- _ —'"'
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNY DATE MMIDDIYY LIMITS
GENERAL LIABILITY
—__
EACH OCCURRENCE
$1,000,000
A
X COMMERCIAL GENERAL LIABILITY
BA2496043
05/12/08
05/12/09
-DAMAGE TORENTEO_—_.
PREMISES
....-_—
$100,000
MADE
(Ea cccurence)
-CLAIMS I" IOCCUR
MED EXP(Any one person)
$5, 000
PERSONAL S ADV INJURY
$11000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
_
PRODUCTS - COMP/OP AGO
$1, 000, 000
._OC
POLICY PRO-
E&
AUTOMOBILE
LIABILITY
COMINED INGLE LIMIT
$ 1,000,000
ANY AUTO
( . accident'
ALL OWNED AUTOS
BODILY INJURY
$
A
X ..-
SCHEDULED AUTOS
BA2496043
05/12/08
05/12/09
(Per person)
HIRED AUTOS
---
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
--
.---------------
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
--
OTHERTHAN EA ACC
$
AUTO ONLY:
AGO
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OL CCUR CLAIMS MADE
__,
AGGREGATE
$
DEDUCTIBLE---—
_---
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORV LIPA!TS ER
------
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACFI ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E L. DISEASE EA EMPLOYEE
-.
$
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER iS ADDITIONAL INSURED
FORTCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 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 LEFT, BUT FAILURE TO DO SO SHALL
FAX 970-221-6767
PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS CO 80522 REPRESENTATIVES.
1988