HomeMy WebLinkAbout359019 LITTLE BOYS TRUCKING LLC - INSURANCE CERTIFICATE (6)07/22/2009 09:52 9704843210
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FUSAINOIAND JOHN C
121 E SWALLOW Ro #115
FT COLONS, CO 80525
970-484-3200
Certificate of Insurance
Policy number: 05351504-0
Underwritten by:
ARTISAN AND TRUCKERS CASUALTY CO
July 22, 2009
Page t of 1
tcrtln®fr Holder
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Additional Insured
Injiured
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LITTLE BAYS TRUCKING, LLC.......... ��
Agent
.......................................................................
�� �� FUSA/NOLAND 10HN C
CITY OF FT COLLINS
2302 STANLEY CT
121 E SWALLOW RD #115
PU BOX 5s0
FT COLLIN5, CO 80526
Ff COLLINS, CO 80525
FT COLLINS, CO 80522
This document certifies that insurance policies identified below have been issued by the designated insurer to the
Insured named above for the period(s) indicated. This Certificate is issued for intormation purposes only, It canters no
rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the pol'cies
listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations,
endorsements, and conditions of these policies.
Policy Yfective Date: Mar 25, 2009 Policy Expiration Date: Mar 25, 2010
Insurance coverage(s) remits
..........1,..000,00................MBINED.............S.INGLE.........L.IMIT...........................................
..........
.....
BODILY INIURY/PROPERTY DAMAGE $0 CD
Description of Location/Vehicles/Special Items
Scheduled autos only
.....................................................................................................................................................................
1991 KW T60 1XKADR9X7M5559220 Stated Amaunt $28,000
Certificate number
20309NET504
Please be advised that additional insureds and loss payees will be notified in the event of a mid -teen
cancellation.
Form 5241(100