HomeMy WebLinkAboutCORRESPONDENCE - BID - 5964 HAULING (3)t
03/10/09 12:58 ANTHENBCBS 9706690921 p.06
Mar 10 2009 10:198M DENNISBREITBRRTH 970GG35807
CERTIFICATE OF INSURANCE
P.1
This cesiffies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloortnington, Illinois
® STATE FARM GENERAL INSURANCE COMPANY. Bloomington, Illinois
❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven. Florida
❑ STATE FARM LLOYDS. Dallas, Texas
in8urres the tolbwing policyholder forthe coverages indkated below:
Name at policyholder Fairchild Trucking
Address of pOiicyllolder 925 Turman Dr
Location of operations Fort Collins, CO 80525-9312
Description of operaiione
The policies Voted below have bow ftmed to the policyholder for the policy periods shown. The insurance described it these policies Is
subfed io all "terms exclusions, and conditions of those policies. The limits of liabitityr shown may have been reduced by arry paid claims.
POLICY PERIOD
UWTS OF LIABILITY
POLICY NUMBER
TYPE OF WSURANCE
EAieet We Da1la ;Empkation Deft
(at beginning of policy perW)
Comprehensive
Business LiabVtty
BODILY INJURY AND
PROPERLY tU41NAt3E
Thla insurance Irtciudes:
�] Product$ - Corrhpleted Operabor�
❑ ContreMal Llabdity
❑ Underground Hazard Coverage
Each Ocourrenee $
❑ Personal Injury
❑ Advertising b*ny
Glerwial Aggregate $
❑ F_xpWon Hazard Coverage
❑ Collapse Hazard Coverage
Products - Completed $
❑
Operations Aggregate
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY
EI'llbe hie Date ; 6V1rsEen Daft
(Combined Single Urn!)
❑ Umbrage
Each Occurrence $
❑ Caer
Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
enrol Employers Lid3ft
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
EpreCtihre Dabs ; Dneia
LIMITS OF LIABILITY
(act beginning of policy period)
1112968-E09-06
Commerical Auto
11/04/08 05/04/09
one million
93 Renvorth
;
1XRADH9X3YJ58558
THE CERTIFICATE OF INSURANCE 13 NOT A CONTRACT
OF INSURANCE AND NEITHER
AFFIRMATIVELY NOR NEGATIVELY
ANDS. EXTENDS OR ALTERS THE COVERAGE APPROVED
BY ANY POLICY DESCRIBED
HEREIN -
Nam and Address of C w0cate Holder
City of Fort Collins
215 N Mason St
Fort CollinB, CO 80522
If any of the described policies are canceled before
its expiratlan date, State Fart wilt try to mall a written
notice to the oerligcate holder
days before cancellation. If however, we fail to mad
such notice, no obligation or liabgity will be imposed
on State Farm or its agents or representatives.
Agent's Code Stomp
AFO COO* F625
658-064 9.3 04-1999 P*ftdin U.S.A.