Loading...
HomeMy WebLinkAboutFAIRCHILD TRUCKING - INSURANCE CERTIFICATE (3)03/10/09 12:58 ANTHEHBCBS 9706690921 p.06 Mar 10 2009 10:19AM DENNISBREITBRRTH 9700035807 CERTIFICATE OF INSURANCE This codifies that CI STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois 0 STATE FARM GENERAL INSURANCE COMPANY, Bloomington. Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario CI STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida C] STATE FARM LLOYDS. Dallas, Texaa Insures the following policyholder for the coverages Indicated below: P.1 Name of Icyholder e'airchlld Trucking Address ofponcyholder 925 Turman Dr Location of "orations Fort Collins, CO 80525-9312 Deacription of operations The Policies Noted below have been issued to the poUcyholder for the policy periods shown. The Insurance described M these policies Is subjeoi to all the temne exckmions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY PERIOD UNITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE ERacfive Date ; Data (at beginning of Wilcy ) Comprehensive BODILY INJURY AND Business LiabNhy —'----------------- PROPERTY DAMAGE This irmtaamoe includes: — -- -ff Produrs -Completed Operatlorie C) Contramai Liability E3 Underground Hazard Coverage Each Oewrrence $ [j Personal Injury C] Advertising hyury General Aggregate $ C] expWon Hazard Coverage C7 Conspoe Hazard Coverage Products — Completed $ © Operations Aggregate C7 POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effsetwo Date : Expiration Dabs (Combined Single Limes) 0 Umbrella Each Occurrence $ ❑ other Aggregate $ Part I STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Uatdilhy Each Accident $ Disease Each Employee $ Disease - Policy trmN $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Data jEVWSWDabs (at beginning of policy partod) 1112968-E09-06 Commerical Auto 11/09/08 05/04/09 one mtllion 93 itenworth lxMD1r9X3PJ58558 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEHER AFFMMA'n LY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before Iffi expiration date, State Farm will try Io mall a written notice to the oertiNowte honker Name and Address of Certificate Holder City of Fort Collins 215 N Mason St Fort Collins, CO 80522 days before cancellation. If however, we fail to mall such notice, no obligation or liability wiN be imposed on State Farr or ks agents or representatives. AFO Cede F625 568-924 0.3 04-IM Pf*ftd In U.S.A.