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CORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY) 03/27/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 27 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WELLINGTON, CO 80549 970-568-0980 INSURERS AFFORDING COVERAGE NAICit STEVE BEITZ TRUCKING LLC INSURED nasuacan. FARMERS INSURANCE GROUP INSURLR B'. 4640 E COUNTY RD 66 INSURER WELLINGTON, CO 80549 INSU-RIR1) 97-227-5885 INSURER EI. COVFRAGFS 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. IN. __- iA obii- seo -_____ TYPE OFINSURANCE --'-----_ POLICY NUMBER POLICYEFFECTIVE DATE(MMIDDIYY PDLICYEXON DATE MMIDDIYIDDIYY LIMITS GENERAL LIABILITY EACII OCCURRENCE $1,000,000 X -PREMI lES k[NILD - COMMERCIAL GENERAL LIABIUTY I>REMI¢ES¢-noceruence $100,000 CLAIMS MADE LX] OCCUR MEUI XIl E\,A. ,,person) S5, 000 A X 604726041 03/2 1/0 9 03/21/10 _ PERSONAL&ADVINJURY S1,000,000 GENERAL AGGREGATE E2,000,000 GEN'L AGGREGATE LIMIT APINULS PLR. PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO- rCT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1, 000, 000 __. ANYAUTO (Eeecmdele) ALL OWNED ALI OS BODILYINJURY X $ONE OUL ED AU'f0S (Per person) S A X 604726041 03/21/09 03/21/10 IiB1 DAUTOS BODILYINJURY S NON OWNEDAU(OS (Penecmdent) PROPERTY DAMAGE $ (PCt000i0eftl) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S ANYAUTO EAACC OTHER THAN _-_. $ S AUTOONLY. AGO EXCE$SIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR (� CLAIMSMADE AGGREGATE s S DEDUCTIBLE 5 RETENTION S S OTH STAYLIMTUIU WORKERS COMPENSATION AND TORWO FJ2- ------------_._..._.._-_ EMPLOYERS' LIABILITV EL. rACI I ACCIDENT s ANY PnoPmrmmananirerexecuvvE EL DISEASEEAEMPLOYEE S orneersnseneerl nxttunro' ilyBS, (1escrbeNinder SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEE U IRE O DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN ON H NSU , ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE , © ACORD CORPORATION