HomeMy WebLinkAboutSHRADER OIL CO - INSURANCE CERTIFICATEACORD. CERTIFICATE LIABILITY
D05/29/08Y1
OF
INSURANCE
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
5701 W Talavi Boulevard
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Glendale AZ 85306
Phone 1 888 333 4949
Home Office Owatonna MN 55060
COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
A FEDERATED SERVICE INSURANCE COMPANY
INSURED
SCHRADER OIL CO
PO BOX 495
314-627 1
COMPANY
B
—
COMPANY
FORT COLLINS CO 80522
C
COMPANY
D
CRV�t'4AiiES
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 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YYI
POUCY EXPIRATION
DATE IMM/DD/YY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
]CLAIMS MADE � OCCUR
9802184
06/30/08
06/30/09
GENERAL AGGREGATE
s 2 000 000
PRODUCTS COMP/OP AGG
s 2 000 000
PERSONAL & ADV INJURY
4_ 1 000,000 _
OWNER S & CONTRACTOR S PROT
EACH OCCURRENCE
8 1 000,000
FIRE DAMAGE (Any one fire)
1, 100,000
MED EXP (Any one person)
$
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
s 1 000 000
X
BODILY INJURY
(Per person)
9
A
ALL OWNED AUTOS
SCHEDULED AUTOS
9802184
06/30/08
06/30/09
X
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per ecaJenO
6
X
PROPERTY DAMAGE
8
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
8
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
6
EXCESS LABILITY
EACH OCCURRENCE
s 4,000,000
A
X UMBRELLA FORM
9802185
06/30/08
06/30/09
AGGREGATE
8 4,000,000
_
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
WC STATU OTH
I RV IMITS ER
EL EACH ACCIDENT
$
THE PROPRIETORI INCL
PARTNERS/EXECUTWE
EL DISEASE POLICY LIMIT
$
EL DISEASE EA EMPLOYEE
$
OFFICERS ARE EXCL
OTHER
I
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS
COMOWAT15 HOLDER
CANCELLATION
31G 271 CITY OF FORT COLLINS
66 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PO BOX 580
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
FORT COLLINS CO 80522
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPAIV ITS AO TS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIV
AGORA) 26 0 (1 Ism
PRESI Ttoo"O CORPORATION to"