HomeMy WebLinkAboutMCEVOY AND SONS - INSURANCE CERTIFICATE (2)ARM CERTIFICATE OF LIABIL
rl3Duu%K (970) 834-1337
CROSSROADS INSURANCE AGENCY
119 2ND AVENUE
P.O. BOX 1010
INSURED
McEvoy & Sons, Inc
Don & Jean McEvoy
PO Sox 279
0—
FAX: (970) 674-9137
SOS46—
(roMroNYW)JT INSURANCE E
3012009
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, 9XTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURM AFFORDING COVE GE
NAIC 9
tNeuRERA. PINNACQL ASSURANC$
INSURER 8:
INSUR R C:
INS
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW 14AVE 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.
DD INSR APOUCYE POLICY RpAp-nOw
LTR TYPE OF INSURANCE POLICYNWMyeR DATE M DATE{MMtONYY LINTS
G9NERAL
LIABILITY
COMML?RC1AL t"vENE LIABI.ITY
N/71
/ /
/ /
EACH URRENC6
e
l��
EMIeE RENTED
Eb ocultroMB
CLAIMS MADE � OCCUR
/ /
/ /
M1E0 ' P (ft am oreon
S
PER ONAI 6 AO INJURY
8
GEN RALAGGREGATE
°
GM AGGREGATE LIMIT APPLIES PER:
POLICY 7 ECT LOC
PRODUCTS • gOMFIOP AGO
6
AUTOMOBILE LIABILITY
N/A
/ /
/ , /
COMBINED SINGLE LIMIT
ANY AUTO
Ift aeddeMI)
°
ALL OWN80 AUTOS
SCHEDULED AUTOS
I I
/ I
BODILY INJURY
tear person)
°
HIRED AUTOS
NON-OWNEO ALTOS
/ /
/ /
BODILY INJURY
(Pew ooc;"m
°
PROPERTY DAMAGE
(PNebtJderl>J
i
GARAGE LIAINLMY
AUTO ONLY - FA ACCIDENT
4
ANY AUTO
NIA
I /
/, /
OTHER THAN EA ACC
_
°
AUTOONLY: AGO
i
EYCE85IUMBRELLA LIANUTY
N/A
/ /
/ /
EACH OCCURRENCE
8MEGATE
8
OCCUR ❑CLAIMS MADE
e
DEDUCTIBLE
9
R ON S
A
WORKMGOMPENSATIONAND
EMIPLOYERW LIABILITY
4099312
01/01/2008
01/01/2009
X STATu.
UM
GiLt EACH ACCI ENT
4 100,000
y
ANY PROPRIETOROPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED?
v yes. aeeariaa u-dor
SPECIAL PROM 1
4099312
01/01/2008
01/01/2010
E.LOISEASE- EAEMPLOYE
9 300 000
E,L DISEASE • POLICY LIMIT 14
500,000
OTHER N/A
DESCRIPTION OF OPERATIONSILOCATION&VEHICLESIE)ICWSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
TRUCKUS
CERTIFICATE HOLDER CANCELLATION
( ) ( ) SHOULD ANY OF THE ABOVE DEWA169D POLICIES = CANCELLED BEFORE TNC
ATTN: BLDG & ZONING DEPT QXPIRAnoN 0 EREOP. TNF lESUING INSURER 1MLL ENOEAvOR TO MAIL
10 0A3SrVPdTTEN NOME To THE CERTiNCATB NOLoER NAKED TO THE LEFT. BUT
CITY OF FORT COLLINS PA lw D so SHALL wpm
1 OR LIABUJTY OF ANY KIND UPON THE
�TION
P.O. Box 580 jul;u MR AeR.nx ro ocoo
>rmT COLLINS CO 80522-•0580
ACORD 25 (2001108) AC0jkD CORPORATION 1 B88
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