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HomeMy WebLinkAboutSTEVEN BEITZ - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 01/30/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 27 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WELLINGTON, CO 80549 970-568-0980 INSURERS AFFORDING COVERAGE NAIC# INSURED STEVE BEITZ TRUCKING LLC INSURERA: COLONY INSURANCE COMPANY INSURER B: PROGRESSIVE INSURANCE 4640 E COUNTY RD 66 INSURER C: WELLINGTON, CO 80549 INSURER D: 970-227-5885 INSURER E: COVERAGES 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. INSR LTR DD•L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $10 0 , 0 0 0 CLAIMSMADE OCCUR MED EXP (Anyone person) $5, 000 A X GL3621185 03/09/08 03/09/09 PERSONAL&ADVINJURY $1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2,000,000 POLICY 7 PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANYAUTO (Ea accident) X BODILYINJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS B X HIRED AUTOS NON-OWNEDAUTOS 05644303-0 02/14/08 02/14/09 BODILYINJURY (Peraccident) $ PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO S AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMSMADE AGGREGATE 5 S S DEDUCTIBLE S RETENTION $ WORKERS COMPENSATION AND WCSTATU- OTH- TORYLIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY AN V PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFiCERIMEMeER EXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 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. AUTHORhED REPRESENTATIVE ACORD25(2001/081 ©ACORD CORPORATION 1988