HomeMy WebLinkAboutSCHRADER OIL CO - INSURANCE CERTIFICATE� DATE (MMIDDIYY) .::
ACORQ. RT FIG T F L A LIT �N U C "`' `::>::>,
>» 05/20/09 . ..
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Home Office: P.O. Box 328
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Owatonna, MN 55060
COMPANIES AFFORDING COVERAGE
Phone: 1-888-333-4949
COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
A FEDERATED SERVICE INSURANCE COMPANY
INSURED
SCHRADER OIL CO
314-627-1
COMPANY
B
PO BOX 495
FORT COLLINS CO 80522
COMPANY
C
COMPANY
D
COVI 2A ES .....
........:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE IMM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
S 2,000,000
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
8 2,000,000
A
CLAIMS MADE XX OCCUR
9802184
06/30/09
06/30/10
PERSONAL & ADV INJURY
$ 1 000 000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 100,000
'
MED EXP (Any one person)
$
AUTOMOBILE LIABILITY
-
COMBINED SINGLE LIMIT
$ -
X
ANY AUTO
.1.,000,000.
ALL OWNED AUTOS''
BODILY INJURY' -
$
A
SCHEDULED AUTOS' :
9802184
06/30/09
06/30/10
(Per person)
„
X
HIRED,AUTOS,
BODILY INJU -
RY
X'NON-OWNED�AUTOS`..:
-(Per. accitlentl
PROPERTY DAMAGE
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
S 4,000,000
A
X
UMBRELLA FORM
9802185
06/30/09
06/30/10
AGGREGATE
S 41000,000
"
OTHER THAN UMBRELLA FORM
J
$
WORKERS COMPENSATION AND
WC STATU- OTH-
TORY LIMITS ER
'r
EMPLOYERS' LIABILITY
THE PROPRIETOR/
INCL
EL DISEASE - POLICY LIMIT
$
PARTNERS/EXECUTIVE
-
OFFICERS ARE:
EXCL
EL DISEASE - EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Ri II )GATE HOLDER . ..
CANCECLATIO.N
3146271
CITY OF FORT COLLINS
65
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
-PO 'BOX 580
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
:FORT COLLINS CO 80522
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
—'
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
- - -
OF ANY KIND UPON THE COMP ITS AGENTS OR REPRESENTATIVES.
• -
AUTHORIZED REPRESENTATIV -
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