HomeMy WebLinkAbout124167 STEELY TRUCKING INC - INSURANCE CERTIFICATE (4)MMM
ACORD CERTIFICATE E OF UABILITY INSURANCE OP ID P'� DATE s>G-1 `i 09/22F` _..
PRODUCER i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAJ=': .
Brown to Brown Inc ONLY AND CONFERS P40 RIGHTS UPON THE CERTIPr;ar-=-
125 S Howes, 5th Floor" BOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY TKE POLICIES SELO°ti'If.
P ® OCR 2a2w
Fort Collins CO 80.522-2226
Phone: 970-482-7747 Fax: 970-484-4165 ( INSURERS AFFORDING COVERAGE NAIC�
INSURED INS'URERA: co"numm nrr= » 35939
INBURmi;tB: Pinnacol Assurance --41190__ --
teei x ing Inc INsul a �
Wellington CO 80549 tn�uRERD
INSURER I::
v THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMr;NT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDZDU BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TOM, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN RED BY PAID CLAJM S.
MLTRSR
IR
TYPE OFrKSURANCE
POLICY NuhmeR
PC
OATS MfD i
GATE F4btiD
LIMITS
GENERAL LIA81 M
EACH OCCURRENCE
-DAMAGETO -
$ 1, 00 0 , 0 00
.-- --- - - -`
A
X
-
x cOMMERCftwNERALLiA9ILITY
COA000385
09/27/09
09/27/10
RENTED—"
p ensEsL aaaneols100,000.----.
MAW MADE ® OCCUR
MED EXP (Am me Person)
$_5-
PERSONALBADVINJURY
$1,000,000
CENERALAGGRE'rATE
$ 2 , 000, 000
GEWLAOQREGATEUMMAPPLIESPER:
PRODUCTS-COAVIOPAM
' S 1,000, 000
POLICY dECT :' LOC
A
AUTOFADBILE
LIABILITY
ANY AUTO
COA000385
09/27/09
09/27/10
C WSFNED SINGLE LIMIT
(Eeacdeanl) -----
$1,000,@00 '
iL
ALL OWNED AUTOS
SCHEDULIEDAUTOS
I
BODILY INJURY
(PerP—)
$
BODILY DLIURY
(Ppr ecddent)
$
FitRED AUTOS
NON -OWNED AUTOS
$
PROPERTY DAMAGE
(Per ecaftm)
S
OARAOEUABUITY
AM ONLY -EA ACCIDENT
$ _
Ty N V EA ACCOTHER
ANYAUTO
S
$ -
AUTOONLY: A00
EXCESSUtlAABRELLALIABILTTv
EACHOCCURRENCE
$
OCCUR CUUMS MAOE
AGGREGATE
$
$
8
DEDUCTIBLE
$
RETENTION $
B
WORI(ERS COMPIRMTFM AND
UIPLOYERS` UASIUTY
NY
APROPRIETORiPARTNEROMCUTIVE
OFFICE".EMBEREXICLUDED?
975882
01/01/09
01/01/10
� TORY LIMITS _ ER
E.L.EACHACCIDENT
------ ._..
E.L.01SEASE-EABIPLOYEE
$100,000_�
$ 100 000
Ist ECIAL IONS hak=
F=LDISEASE - POLICY LlUrr
18 500 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEW I SPECIAL PROVISIONS
City of Fort Collins included as additional insured regarding commercial
general. liability.
FAX: 568-9813
CITYF10 BfdOULD ANY OF THE AUM DESCRIBED POLICIES ®B CANCELLED BEFORE THE ENSRArOIN
DATE THEREOF. THE ISSUMG VISUREH WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City Of Fort Collins NOTICE TO THE CERTIFICATE HMER QED TO THE LEFT, BUT FAILURE TO 00 30 $HALL
Purchasing Dept. IMPOSE NOOBLIGATiMORUA81117YOFAmKINDUPON THE WSURER.ITS AGENTS OR
215 N. Mason St.
Fart Collins Co 80521 REPRESENTATFUMS.
OR REPRESENTA
OACORD CORPORATION 1989