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Home My WebLink About384033 J J'S TRUCKING - INSURANCE CERTIFICATE (11),4coRd CERTIFICATE OF LIABILITY INSURANCE DA9/12A�2008 09/12/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION Lisa Kelly of Cramer State Farm ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1275 E Magnolia St Suite I Fort Collins CO HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 80524 ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL0911 a INSURERS AFFORDING COVERAGE NAIC # INSURED PFLIPSEN, STAN dba JJ S TRUCKING INSURERA State Farm Fire and Casualty Company 25143 INSURERB State Farm Fire and Casualty Company 25143 221 W DOUGLAS RD LOT 17 INSURER FORT COLLINS CO 80524 INSURER D INSURER E 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 M91 AWL POLICY EFFECTIVE POLICY EXPIRATION LT% 1118RD TYPE OF INSURANCE POLICY NUMBER DATE DATE X LIABILITY'GENERAL 96-BB-D290-3 F 03/23/08 03/23/09 EACH OCCURRENCE i 1 000 000 Mp PREgE mp (Es i 1 000 000 Y COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR MED EXP pro i 5 000 PERSONAL SAOVNAM 1 000 000 GENERAL AGGREGATE $ 2 000 000 GENLAGGREGATELIMIT APPLIES PER PRO- PRODUCTS COMPOPAGG i 2 000 000 POLICY JECT LOC X AuTomOBLEuAmLrry ANYAl1T0 117 3516-D10-06G-001 150 7989-BO4-06C-001 146 2119-A16-06D 10/10/08 08/29/08 07/16/08 04/10/09 02/04/09 01/16/09 COMBINED SINGLE LIMIT (Eaaoadant) s 1 000 000 BOOILY INJURY (P-P—) i 1 000 000 ALL OWNED AUTOS )( SCHEDULED AUTOS 146 2108-A16-06D 08/29/08 01/16/09 BODILY INJURY (per 0000e11) S 1 000 000 HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per emdend) s 1 000 000 GARAGE LIABSJTY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO AUTO ONLY _ _j] AGO EXCEIBIUMBRELI A LIABILITY EACH OCCURRENCE i AGGREGATE S OCCUR ❑ CLAIMS MADE i i DEDUCTIBLE i RETENTION i WORKERS COMPENSATKN/ AND EMPLOYERS LIABILRY RYSTATU OTH S ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERAIEIMBER EXCLUDED? E L EACH ACCIDENT i EL DISEASE EA EMPLOYEE If yaa SPECIAL below E L. DISEASE POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFOTS THE EIIPNATION 215 N MASON ST DATE THEREOF THE =WHO INSURER WILL ENDEAVOR TO MAR DAYS WRITTEN FORT COLLINS CO 80521 _10 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LUUNLITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 132849 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certdreate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or after the coverage afforded by the policies listed thereon Ma.VRY ,C0 ILuullua)