HomeMy WebLinkAbout364578 MISTLER TRUCKING INC - INSURANCE CERTIFICATE (5)q ER CERTIFICATE OF LIABILITY INSURANCE MIISTLTR 0A )4z3M/08'
Pao➢uceR 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 NAICI
INSURED NSURERA Wilshire Insurance Company
NSVRER B
Mistier Trucking, Inc ...—__ ..__. _._.._._....
Edward Mistler INSURERC
PO Box 83 - ..._ ... _._ ..._..._.._
Nunn CO 80648 INSURERD
NSURERE:
I.V VCRHVCJ
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" HO 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 SUCK
POLICIES. AGGREGATE LIMI I S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-- -- _ -
INSR ➢➢'—._____.--__._._._. .____ _.._...___ _ _ _
TE EFFECTIVE- 15DATE "AZW
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIOD/YY DATE AIMIODlYY LIMITS
DATE I
GENERAL
LIABILITY
EACH OCCURRENCE
$1,000,000
A
X
COMMERCIAL GENERAI. LIABILITY
BA2496043
05/12/08
05/12/09
-OAMAGE'TO"RENTED
PRFMISF�ea ocwronce)
s 100 000
...__, CLAIMS MADE (X�OCCUR
MED EXP(An, one person)
SS, DDD
PERSONAL &ADV INJURY
$ 11000,000
GENERAL AGGREGAI E
$ 2 000, 000
GEN'L AGGREGATE LIMITAPPLICS PER
PRODUCTS COMPIOPAGG
$1,000,000
PRO-
POLICY
11
__—__...... __..
..
AUTOMOBILE
LIABILITY
COM LIMIT
$1,000,000
_._
ANY AUTO
(Ea accidentt'INGLE
ALL OWNED AUTO$
.__._......._._...._—___._____._..._�__
.. ............ .
BOBBY INJURY
$
A
X
SCHEDULED AUTOS
BA2496043
05/12/08
05/12/09
(Per person)
HIREDAUTos
.._.......
-- -
BODILY INJURY
$
NON-OWNEDAU'rOS
(Pe, accident)
.—......................_...._......
.... ......... _._.__....,...___—
. _...
....._...___..._.___.................
PROPERTY DAMAGE
$
(Per aceidi
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AD
.__
_.........._ ._._.
_.._
OTHER THAN FAACC
$
AUTO ONLY; qGG
$
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR _, I CLAIMS MADE
._.._ .. ...
AGGREGATE
._.. _._.___...._.... ___-------
$
_._
_..-
3
DEDUCTIBLE
—._...... _._.._—____._.._..____........
I S -
RETENTION $
WORKERS COMPENSATION AND
TORY LIMITS ER
EMPLOYERS' LIABILITY
-- ---I--- -----...
ANY PROPRIETORIPARTNEWF.XFCU OVE
FA- EACH ACCIDENT
$
OPFICERIMF.MBER EXCLUDED?
.-.__....—__...._...._..._.E
DISEASG: EA EMPLOYE
_........ _.-.___..._....
$
_EL
SPECIAL PROVISIONS below
E.L. DISEASE POLICY lltdlT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIELIg7 EXC LUSLONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is Additional Insured.
CITY OF FORT COLLINS
ATTN: J014N STEPHENS
FAX 970-221-6707
215 N MASON ST 2ND FLOOR
FORT COLLINS CO 80524
CITYFOR I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 $0 MALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR