HomeMy WebLinkAboutJ.R. ANDERSON TRANSPORT, LLC - INSURANCE CERTIFICATESent By: DMS ENTERPRISES, INC;
3036971B99; 8ep-9-08 11:21AN1; Page 1/1
ACORD,M CERTIFICATE OF LIABILITYiiINSURANCE
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PRODUCER
:THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
High CountryTruck Insurance
303-697-8099
:ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. BOX 659
.HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Morrison CO 80465
INSURERS AFFORDING COVERAGE NAIC #
INSURED
J.R. ANDERSON TRANSPORT, LLC
niSURERANORTHLAND INSURANCE COMPANY DOI
---- - - -' "- .-----' --
7762 HILLCREST OR,
INSURER HSURLiNGTON INS CO.
�IN'SURERc.REPUBLIC FIRE & CASUALTY INS.
SEDALIA. CO 80135
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFO 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 MSURANCE AFFORDED 5Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE I ERMS,',EXCLUSION$
ANO CONOITION$
OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED RY PAID CLAIMS.
III Wilk 651 ."...-_..____,..._..- .._. _._. 'POLIY FFECTIVE-POLICY E%VIRATON..
M NM TYPS Of INSURANCEPOLICY NUM6ER
LIMITS
A GENERAL LUBIUTY 011 B005968 1737 /2008 113112009
EACn oCcuRRENCE
$ 1,000,000..
Y` GOMMCHCULGCIIERALUAGILITY
VHLMI'ES Eud_[vm nm
$ 1.000,000
CIAIMUMADE X OCCUR
. �
MIman)
5 5,000
VEHSUNM1L SA°V IfAVH'!
S 10,000
UENERALA(yaHEG_ATE
S 2.000=0
OEN'L AGGREGATE LIMIT APPLIES PER:
PHVDUCT6-CVMwOP AOO
S 1,000,000
.. I PRO.
POLICY LOG
, ............ _.
A
AUTOMOBILELIABILITY
TN581111
11122/2007
11/22/2008 .COMBINED
SINGLE UMIT
1,000,000
ANYAVID
IEaacddenl)
S
BODILY INJURY
--
$
�-
ALLO eDAVT06
..
X
L. _
DUL SCHEED AUTOS
HIRED AUTOS
BODILY INJURY
$
NON-OLMIEO AUTOS
IP&AWdw)
PROPERT/DAMAOE
S
--
C—
IN& awd& )
GARAGE LIABILITY
'.
AUTO ONLY. UACCIOENT
$
OTHERTHAN EAACC
$
I ANY AUTO
_
$
AUTO ONLY: AGG
E%CE98NMBRELLA LIABILITY
EACH OICCURREH_C_E
$___
OCCUR LlCLAIMS MADE
6,__„, ..„_.
AGGREGATE
9
9
DEOVCIIGLE
$
RETENTION S
C
WORKERS COMPENSATION AND
I
X ADSTATU- JOTH-
.....,-TORY.UTALT3_ -JiA.._.........
....
EMPLOYERS'LIABILITY
VVVS0023358-01
2/27/2007
2/2712008
E.L. EACHACCIOENT
3 100�000
ANY PROPRIETORfPARTNERl f.GUTIVE
OFFlCEHIMEMBER FXCLUDSU)
EA.OISEASE FAEMPLOYEE
S 600,000
ffgYld 6' dumba Maf
5 WJI.PROVISIONS W.
...._.....__................... _.......
E.L.DISEASE • POLICY LIMIT
..
5 100000
A
E 30
TN581111
11V29l2007
11/22/2008
$60,000
A
PHYS./DAM
TN581111
11/29/2007
11/2212008
$1,000 DED.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED aY ENDOR EMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER IS ADDITIONAL INSURED
L.en I IrlA A I c nuwcn m.cwl nvn
CITY OF FT. COLLINS SHOULD ANY OF THE ABOVE DESCRIBEDPOLICIES BECAWEUE08UORE THE EXPIRATION
P.O. BOX 580 OAT THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
FT. COLLINS, 00 80522 NOTICE TO THE CERTIFICATE HOLOER NAM//pppp TO THE LEFT, OUT FAIL/URE TO DO SO SHALL
970-221-6707 IMPASE NO OBLJOATION OR LIABILITY Oa Y MNP UPON THE INSyIiER. ITS AOENP9 OR