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Home My WebLink About416140 STEVE BEITZ TRUCKING LLC - INSURANCE CERTIFICATE (2)JUL-20-2009 10:00 FroIn:STEUENS INS AGENCY 9705680979 To:2216707 Paae:1-'1 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOlYYYYI a�r/2o/aoa9 FRQDUrFR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 2 % HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OISLOW. WELLING'TON, CO 80549 970-368-0980 INSUREV STEVE SEITZ TRUCKING_ LI 4640 E COUNTY RD 66 WELLINGTON, CO 80549 970-227-5885 I:UVCKAUhb INSURERS AFFORDING COVERAGE INsUI,rH A FARMERS INSURAN INSURER 0. PINNACOL ASSUR_ P. INfi1.;RER C - INSURER D. Ii'ISIIRFR F �•��• m.... NAIC8 GROUP THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIGATFD. 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. IMSR on, POLICY EFFECTIVE MPOLICY EXPIRATION ,,.,... � �.-- Ira MrRn TYPEOFINSURANCIZ POLJCY NUMBER UATC MM1DD1YY UAIE MIUUrYY LIMITS GENERAL LIABILITY LA(:-1 OCCURRL-NCC S , X CG OMMERCIAL ENERAL LIADILITY L 1 O Q r 0 a O PRFMISFS F;I rrecurallcll CLAIMSMADE U OCCUR MEDEXP(Anyoneperson) 55► 000 A X - ••—y`u 604726041 03/21/09 03/21/10 PER50'JAI AADVIN.IIIRY s1,, 000, 000 GENERAL AGGREGATE S 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OPAGG z2,000,000 POLICY PRO- IOC JFCT ___.-.-...... AUTOM061LELIABILITY CUMBtNED SINGLE LIMI1 1,000,000 ANYAUTO (Eaaatdent) X ALL(JVVNL•UAUI0S SCHEDULED AUTOS H[j1111 YIN.II IItY (Pnrprr7m) A X HIP£DAUTnB NON-O'NNEDAUTOS 604726041 03/21/09 03/21/10 000arlNJURr PI" amithlM ( 1 S PROPERTY UAMAUh (Ptn'acenJent) GAR AGE LIASILITY ALIIU_ UNLY-EAAGCIGENT 5 ANYAUTO i UIIIE:RTI IAN CA. ACC AUTOONLY AG ; E EXCESSfUMBRELLA LIABILITY CACN OCCURRENCE E Cj..cuk 71 CLAIMSMADC AGr,RECATE Is - S f ..s .. _. r)rrltlt-,TInI P _ RETENTION WORKERS COMPENSATIONAND EMPLOYERSLtABILITY A5545864 07/01/ 10 0109 07 / / X aTATU� TI W E L EACH ACCIDENT S / moo_ rj nnrr aanmirl11M*-urr.Irarr.Inlvr nrnsalMrmnrn rxuunrn- _ S i 0 a l� a a E L DISEASE - EA EMF'LUYEt Ityes.desrbeunder SPECIAL PROVISIONS below 5 5 0 0, 0 0 0 6 L DI$£A:.0 - POLICY LIMIT i OTHER pESCRIPT16N OF OPCRATIONS r LOCATIONS I VEHICLES J EXCLUSIONS ADDED DY ENPOR&FMENT r 6PECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION CITY OF FT COLLINS PURCHASING DIVISION 221-6707 ACORD2 SHOULD ANY OF THE ABOVE DESCRIBf:O POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF', THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE. TO THE CI•R1'IFICATE NOLDER NAME au FAILURE TO DO SO StIALL IMPOSE NO OBLIGATION OR LIARILITY ANY UP N THE INSURER, IT'S AGENTS 0R REPRESENTATIVEA. AUTHORIZED REPRESSNT&Trkf (t)ACORD CORPORATION 1988 JUL-20-2009 10:00 From:STEVENS INS AGENCY 97056e0979 To:2216707 Page:1,'1 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE OATE(MMlDO,YYYY) 07/2o/aoa9 PROIwCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO SOX 27 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ WELLINGTON, CO 80549 970-568-0980 INSURED STEVE HEITZ TRUCKING LI 4640 E COUNTY RD 66 WELLINGTON, CO 80549 ,970-227=5885 COVERAGES INSURERS AFFORDING COVERAGE NAICO IN$UI;FH A FARMERS INSUR_A_NC_E GROUP INSURER O. PINNACOL ASSURANCE INSURER C INSURER D. 0AURFR F THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NUT WITHSTANDING 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. ACCREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMSA oo� '"•'- I.OLICYEFFECTNE POUCYEXI'IRATION -� ITA NnAn TYPEOFINSURANCe POLICYNUM9[R unrt:NllYllOurrY uAleMMIUurYY LIMITS GENERAL UASIUTY LACH OCCURRENCC S1,000,000 X G4MM - -IAL GENERAL LIABILITY __ foci- O O O O / PRFMISFS F;I nccAurnul CLAIMSMADE U t7(:GIIR ..- -- MEDEXP(Anyonoperaon) S_5/ A X 604726041 03/21/09 03/21/10 PERSONAI AAI)VfN.IIIRY s1., 000, 000 .. GENERAL AGGREGATE 52, 000, 000 GERL AGGREGATE LIMIT APPLIES PER PRODUCTS -CpMPIOPAGG 32,000,000 POLICY 2RR 1OC J.CT -._._...... AUTOMOBILE LIABILITY UUMBINEO SINGLE LIMI I t 1, 0 0 0 o O V ANY AUTO (Ea accident) __...._.. l .. .- _...� 0.LL UWNL•UAUIUJ X SCHEDULED AUTOS H0I)II YIN.IIIIfY (Prr. nr pm) S A X HIRF.OAIIT�S NON-OWNEDAUTCF, 604726041 7 /� 03/21/09 03/21/10 OODILYINJURY (Ptx ucT kiTI) S PROPERTY UAMAUE (Pre'BCCidenl) $ GARAGE LIABILITY AU I U UN LY - EA A(:CIGENT S - ANYAUTO UIIIERTIIAN CAACC AUTOCINLY AGri S EXCESSNMBREL,A LIABILITY EACH OCCLIRRENCF S Ucc-U t CLAWG'MADC AGGREGATE 4 9 s .s .. .. _ . Df rItJCTInI r RETENTION WORKERSCOMPBNSATIONAND EMPLOYERTLIABILITY A5545864 07/01/09 07/01,/10 X TATUi OIH- EL EACHACCIDENT R S r O L L AW Prmmirn MAwrtrrrirxrr.Imvr nrnrramrwnrn rxn unrn- � (�^^ 5 1 O01 �V D E L DISEASE EA EMf'LUYf_t SPECI BLGf ROV1d6r SPECL4L PKUVISIUNS bbknv ' 5 5 0 O, Q 6 6 I')IGEAG[ • F�LiLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORISF,MENT 16PECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED I: ChCI1rIL.AIt I'7VLUtK %IARL•CLILA 1 IUM SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PURCHASING DIVISION NOTICE TO THE CtHIIFICATE BOLDER NAME y7C PJ70UT FAILURE TO DO SO SILALL IMPOSE NO OBLIGATION OR LIARILITY ANY UP N THE INSURER, IYS AGENTS OR AUTHORIZED ,FAX! 221-6707 ACORD 25 (2001108) (z) ACORD CORPORATION 1988