HomeMy WebLinkAbout124167 STEELY TRUCKING INC - INSURANCE CERTIFICATEDec-11-08
11:44am From-Brawn&Brown 9704844165
T-786 P.001/001
F-04T
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CERTIFICATE OF LIABILITY INSURANCE
OP P
STEEL-1
DATE (MMIDDvrn)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown 8 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 0 Bowes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES aI-LOW.
Fort Collins CO 80322-2226
Phone:970-482-7747 Fax-970-404-4165 INSURERS AFFORDING COVERAGE DIAIC#
Stoeel Trucking Inc
F 1 p�x 633
We lington Co 80549
INSURERC:
INSURER 0.
41190
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 CERTFICATE 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.
POLICYNUMBER M OrF0Y"MUmTK) LIMITS
LTR NSR TYPBOFINSURANCE DATE MWOO DATE IX (OIYY
A
X
GENERAL LIABILITY
X COMMERCIAL GENERALUABIUTY
CLAIMS MADE ®OCCUR
COA000385
09/28/08
09/27/09
EACHOCCURRENCE
$I.000,000
_
PRE MISES(EeoLxlxrlce
MEO EXP(Any om poroon)
S5,000
PERSONAL A ADV INJURY
al.OD01000
GENERAL AGGREGATE
B 2 , 000, 000
GENl AGGREGATE LIMIT APPLIES PER:
POLICY jEo- LOC
PRODUCTS-COMPIOPAGG
S1,000,000
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COA000385
09/27/08
09/27/09
COMBINED SINGLE 11MR
(Es0c n0
$1,000,000
BODILY INJURY
OF. person)
'X
X
X
BODILY INJURY
(For BBNdwt)
S
PROPERTY OANIAGE
(Per 3=406t)
$
GARAGE LIABILITY
J ANYAUTO
AUTO ONLY -EAACCIDENT
S
OTHERT14AN FA ACC
AUTO ONLY: AEG
5
S
EXCESSIUMBRELLALIAINUTY
OCCUR CIAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE_
S
AGGREGATE
_.
S
S�
S
S
$
WORKERSCOMPENSATONANO
EMPLOYERS, LIABILITY
ANY PROPRIETOR/PARTNE"ECUTIVE
OFFICEWMEMDER EXCLUDED?
Ilyyn:. desdbeuntlel
SPECIAL PROVISIONS below
475882
01/01/09
01/01/08
01/01/10
01/01/09
X TORYLIMITS ER
E.L EACH ACCIDENT
Is1)0, 000
E.L. DISEASE• EA EMPLOY0
31Do, Do
EL DISEASE -POLICY LIMIT
S5D0 000
,
OTNeR
DESCRIPTION OFOPE TIONSILOMMONSIVEHICLESIEXCLUSKNSAOOEO BY ENOORSEMENTISPECIAL PROVISIONS
City of Fort Collins included as additional insured regarding commercial
general liability.
FAX: $68-9813
VGRIIPIOMIG T1V4VGM1
CITYFLO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFliRE THE EXPIRATION
DATE THEREOP,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 —DAYS WRITTEN
City of Fort Collin NOTICE To THE CERTIFICATE HOLDER NAMEOTO THE LEFT. BUT FAILUF E TO DO BO WALL
Purchasing Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
215 N. Mason St.
Fort Collins CO 80521 REPRESENTATIVES.
0 OREPRESENTA
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