HomeMy WebLinkAbout364578 MISTLER TRUCKING INC - INSURANCE CERTIFICATE (7)From Sheryl At Truckers Equity FaxID 303 430 7698 To Financial Svcs Purch Dv
Date 9/52008 02 41 PM Page 1 of 1
ACOM CERTIFICATE OF LIABILITY INSURANCE MISTLTR DATE
09/058)
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
INSURER A
Mistier Trucking Inc INSURER 8
Edward M15tler INSURER
50419 CR 21 INSURER
Nunn CO 80648
wvcnnuw
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 ,QN-FACT 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 EXCW SIONc AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR
NQ
TYPE OF INSURANCE
POLICY NUMBER
DATE (MMIDDM!)
CATE(MMIDOM')
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1 000 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
BA2496043
05/12/08
05/12/09
PREMISES (E mnurance)
$100 000
MED EXP (Any 0 e perso )
$ 5 000
PERSOIWL&ADVINJURY
$1 000 000
I
GENERAL AGGREGATE
$ 2 000 000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOP ASS
$ 1 000 000
POUCYF—j PEa LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
B..cadent)
$ 1 000 000
A
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BA2496043
05/12/08
05/12/09
BODILY INJURY
(Per person)
$
HIRED AUTO —
NON OWNED AUTOS
I
BODILY INJURY
(P .cadent)
$
PROPERTY DAMAGE
(Per acc dent)
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN EA ArI.
$
ANYAUTO
AUTO ONLY
AGG
8
EXCESSNMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
TORY LIMITS ER
EL EACH ACCIDENT
$
ANY PROPRIETORIPARTNER/ENECIUILVE
OFFICERIMEMBER EXCLUI
If yes de5onde under
EL DISEASE EAEMPLOYEE
$
EL DISEASE POLICY LIMIT
$
SPECIAL PROVISIONS Oelp
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
Certificate Holder is Additional Insured
CITY OF FORT COLLINS
Fin Svc - Purch Div
FAX 970-221-6707
215 N MASON ST 2ND FLOOR
FORT COLLINS CO 80524
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS W WiTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES