HomeMy WebLinkAbout416140 STEVE BEITZ TRUCKING LLC - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
09/15/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 27 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
WELLINGTON, CO 80549
970-568-0980
4640 E COUNTY RD 66
WELLINGTON, CO 80549
970-227-5885
INSURERS AFFORDING COVERAGE
INSURER COLONY INSURANC
NSURFR B PROGRESSIVE INS
NSURER D
INSURER E
NAIC#
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
oD
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATEMMIDDIYY
ROLICYEXPIRATION
DATE(MWDDMI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S1,000, 0
A
X
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE � OCCUR
GL3621185
03/09/08
03/09/09
PREMISES Ea cccurence
S100/ 000
MED EXP(Any one person)
s5,000
PERSONAL&ADVINJURY
$1, 000, 000
GENERAL AGGREGATE
s2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
52,000F000
POLICY F PELT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
000, 000
ANYAUTO
(Eaac d S)
$1,
ALL OWNED AUTOS
SCHEDULED AUTOS
BODURY
(Pe personperson
$
X
B
X
HIREDAUTOS
05644303-0
02/14/08
02/14/09
NON OWNEDAUTOS
eooavwLURv
(PeraccdenQ
$
PROPERTY DAMAGE
(Peramdenp
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN EA ACC
$
ANVAUTO
S
AUTOONLY AGO
EXCESSIUMBRELLA LIABILITY
OCCUR El CLAIMSMADE
EACH OCCURRENCE
S
AGGREGATE
$
$
DEDUCTIBLE
RETENTION $
S
WORKERSCOMPENSATIONAND
EMPLOYERS LIABILITY
WCSTATU OTH
TORVLIMITS 1ER
EL EACHACCIDENT
g
NY PROPRr O mremxecl �r
EL DISEASE EA EMPLOYEE
$
o ueMeRR R
fyes descnbe ntler
EL DISEASE POLICY LIMIT
S
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED
CITY OF FT COLLINS
PURCHASING DIVISION
215 N MASON ST 2ND FLOOR
PO BOX 580
FT COLLINS, CO 80522
SHOULD ANV 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 L TTFFAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF �.JNE INBUREft ITS AGENTS OR
ACORD25(2001108)