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HomeMy WebLinkAbout124167 STEELY TRUCKING INC - INSURANCE CERTIFICATE (2)VVD ACORD,. CERTIFICATE OF LIABILITY INSURANCE STEEL° 1 6 DA12 Mll 08) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: CONTINENTAL DIVIDE INSUTI 35939 INSURER B: Pinnacol Assurance 41190 Steely Trucking Inc INSURER C: BOX 633 INSURER D; Wellington CO 60549 -----------------_---_.__------___._--- t,VVCRNOao 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. INS T)D'.__.....- POLICY MIDDfYN PDATE EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1, 000,000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR COA000385 09/28/08 09/27/09 PREMSESO(Edoccuence) $ 100,000 _ MED EXP (Any one person) _ $ 5, O Q O PERSONAL BAOV INJURY $1,000,000 _ _ GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $1, 000, 000 POLICY I PECT RO- LOC J A AUTOMOBILE LIABILITY ANY AUTO COA000385 09/27/08 09/27/09 CO BIKED (EdCOMBWEDSINGLE LIMIT $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X - X - X HIREDAUTOS NON -OWNED AUTOS __-__._.-____-- BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTOOTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY 71 OCCUR __.. CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ "" - — DEDUCTIBLE ---- -----______ RETENTION $ B WORKERS COMPENSATION AND ANY PREMPLOERIETOR/LITY ANY PROPRIETOR/PARTNER/EXECUTIVE 475882 01 01 09 / / 01 /O1/lO X TORY LIMITS ER E.L. EACH ACCIDENT $lOO, OOO OFFICER/MEMBER EXCLUDED? If yes, describe under 01/01/08 01/01/09 E.L. DISEASE - EA EMPLOYEE _ $ lOO, 000 E. L. DISEASE -POLICY LIMIT $5OQ, 000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins included as additional insured regarding commercial general liability. FAX: 568-9813 CITYFI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Dept. 215 N. Mason St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. Ap'rHORqED REPRESENTATI ACORD 25 (2001/08) ©ACORD CORPORATION 1_45