HomeMy WebLinkAboutSAINTS TRUCKING - INSURANCE CERTIFICATE (7)WILSHIRE INSURANCE COMPANY INTERLINE
P.O. Box 7006, Lancaster, California 93539.7006 MU 10 03 07 06
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY THAT we have issued to the insured a policy of insurance which provides coverage as
described below. THIS CERTIFICATE OF INSURANCE DOES NOT IN ANY WAY AMEND, EXTEND, ALTER, OR
VARY THE COVERAGE AFFORDED BY THE POLICY OR POLICIES REFERRED TO HEREIN.
Name and Address of Certificate Holder:
rFORT COLLINS, CITY OF If the policy is cancelled, we will
DIRECTOR OF PURCHASING endeavor to give written notice to the
215 N MASON, 2ND FLR person to whom this certificate is
issued, but failure to give such notice
FORT COLLINS, CO 80522-0000 will impose no obligation or liability
L J upon us.
Policy Number BA2494623 57 02 Effective Date_11/06/2008 Expiration Date UNTIL CANCELLED
Name of Insured SAINTS TRUCKING LLC _
Address of Insured 4502 HIBISCUS ST
FORT COLLINS, CO 80526-0000
Description of Insurance
r .nvFRnri=
f IhAITC r%r 1 I A r1li --
Automobile
Bodily Injury/Property Damage
Combined Single Limit
$
1 , 000 , OOOCS
Liability
Cargo
Each Cargo Carrying Unit
$
NOCV
Less Deductible
$
NOCV
Refrigeration Breakdown Coverage
$
NOCU
Automobile
Stated Amount or ACV
$
SEE SCHEDULE
Physical
Collision
Less Deductible
$
SEE SCHEDULE
Damage
Comprehensive
Less Deductible
$
, SEE SCHEDULE
Specified Perils
Less Deductible
$
NOCU
General
Bodily Injury/Property Damage
Per Occurrence
$
1,000.00
Liability
General Aggregate
$
2,000,00C
Covered Autos:
Due to periodic changes in Schedule of Vehicles we do not furnish specific descriptions,
(Designation Symbols): F]64 [K67 F�68 []69 F�70 E]71 (Descriptions on Following Page):
nis ccrunvaie span not De vaua untn countersignea by a duly authorized representative of:
Wilshire Insurance Company
A
G 000300001
TRUCKWRITERS OF COLORADO INC
E 1410 CARR STREET
N LAKEWOOD, CO 80214-6102
T
Authorized Representative
MU 10 03 07 06 Page 1 of 2
CERTIFICATE1 0HOLDER 0
INTERLINE
WI 00 98 07 06
DATE: 12/ 18/2008
WILSHIRE INSURANCE COMPANY
P.O. Box 7006, Lancaster, California 93539.7006
NOTICE OF REINSTATEMENT
To ALL Insureds, Loss Payees, and Other Interests, if any, named in the Policy described below:
Additional Interest
FORT COLLINS, CITY OF
DIRECTOR OF PURCHASING
215.N MASON, 2ND FLR
FORT COLLINS, CO 80522-0000
Policy Number:
BA2494623 57 02
We are notifying you that the policy shown below is reinstated effective at 12:01 a.m. Standard time at the First
Named Insureds mailing address on the date shown below. This Notice of Reinstatement does not vary, waive,
alter or extend any of the Terms, Conditions, Agreements or Declarations of the policy other than herein stated.
DATE OF CANCELLATION REINSTATEMENT EFFECTIVE
01 /01 /2009 . 01 /01 /2009
Countersigned at Lancaster, California on 12/18/08
Authorized Representative
Countersignature
Policy Issued through Agency: Producer Code: 000300001
TRUCKWRITERS OF COLORADO INC
1410 CARR STREET
LAKEWOOD, CO 80214-6102
Named Insured:
SAINTS TRUCKING, LLC
4502 HIBISCUS ST
FORT COLLINS, CO 80526-0000
WI 00 98 07 06 Page 1 of 1
ADD'L INSURED
12/1812008