HomeMy WebLinkAboutJR ANDERSON TRANSPORT LLC - INSURANCE CERTIFICATESent By 0MS ENTERPRISES, INC, 3036971699, Sep 9 08 11 21AM, Page 1/1
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Amory CERTIFICATE OF LIABILITY INSURANCE I
._............ , V2ofzo07
High Country Truck Insurance 303-697-6099
P O BOX 659
Morrison CO 80455
INSURED
J R ANDERSON TRANSPORT LLC
7762 HILLCREST CR
SEDALIA, GO 80135
V V�CIR/AYW
L1:1•:
AFFORDING COVERAGE
�RTHLAND INSURANCE COMPANY
RLINGTON INS CO
PUBLIC FIRE & CASUAL— INS
NAIC S
001
THE POLICIES
OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFO NOTVRITHSTANOING
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 I$ SUBJECT TO ALL 1 HL 1 ERMS EACLU$ION$ AND WNDITION$ OF SUCH
POLICIES
AGGREGATE LIMITS SHORN MAY HAVE BEEN REDLICFD BY PAID CLAIMS.
III
POLICY E1f�IMTMN!
POLICY MIrNBR UNITS
A
GEJERALLIAMU
011BOO5968
1/31/2008
1131f2009
EACH OCCURRENCE
S 1000000
I/1LGENER B
whm 1 EAR3RIr12
00UAMTY
S 0000
E MADE 7 OCCUR
JTNC
MED EXP An Mr snR
E 5 000
PtNMJNALAA_W_IrLYNY
S 10000
4h I.A& ECAAM _
S 2 WO 000
GENL
AGGREDATE UMR APPUES PER
PR( WTI, UOMPIOP A(
S 1 000 000
POLICY 1 1 PRO LOC
A
AUTOMOBIIELIABILRY
TN581111
IV22l2007
11/2212008
COMBINED SINGLE UMIT
S 1 000 000
ANY AUTO
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I
ALL OWNEOAGr08
BODILY INJURY
X
SCHEOULEDAUTOS
( P.)
f
IAREDAUTOS
BOGLYINJURY
S
NON-0 ED AUTOS
(PN M )
PROPERTY DAMAGE
S
(Pw AmaPq
GARAGE LIABILITY
AUTO ONLY CA ACCIDENT
7
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I
ANY AUTO
I
AUTOOLY AGO
EXCESWUMOME LIABILITY
6ACH000MRREW
S
OCCUR uC IMS MADE
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AOGREOATO
S
1
OEOUcrlE
S
RETEMION S
C
WORNERSCOMPENSAIIONANO
X ygSTA� ib�
EMPLOYERRLIAEEJTY
ANY PROPRIETOWARTNERAXECUTIVE
WdVS002335MI
2/27/2007
2/27/2009
EL EACH ACCIDENT
S 100000
OFFN:ERMEMEER EX UICFOT
ELDISEASE FAEMPLOYEE
S 600000
Irv1LsmmI M
NPIOCAL�r�RB
E L DISEASE POLN;Y UMIT
$ 100,000
A
MID
TN581111
VY3/2007
11f22f2O08
$60000
A
PHYS/DAM
TNSS1111 T11
1+r2PJ2007
II/22/2008
$10000ED
06SCRI►TION OF OPERATION$ I LOCATIONS VEHICAE$ I EkCLUSIDAP ADOW 6Y ENOORSEIIENTI Satoshi. PROVISIONS
CERTIFICATE HOLDER 18 ADDITIONAL INSURED
CITY OF FT COLLINS
P O BOX 580
FT COLLINS CO 80522
970 22"707
MIOULOAMYOFTHEABOVEOEECRUBb) UCIESBECMWEl WeEFORETHEEXMMMN
DATE THEREOF THE ISSUING INMIRBR VOLL ENDEAVOR TO MAIL 10 DAYS Wwriv,
NOINx TO THE CERTIFICATE HOLM RAM TO THE LEFT BUT FA__&'LUUP-1 TO DO 30 SNAU.
MPOBE MO OBUOATWN OR LIABILITY ANY NIND UPON THE IN;06 113 AMEN„ OR