HomeMy WebLinkAboutAG EXPRESS LLC - INSURANCE CERTIFICATEACORD,,N CERTIFICATE OF LIABILITY' INSURANCE
DATE
01/05lDQ/YY
O1/05/2010
PRODUCER (970) 834-1337
CROSSROADS INSURANCE AGENCY FAX: (970) 83d-1393
119 2ND AVENUE
P.O. SOX 1010
AULT CO 80610-1010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Ag Express, LLC FAX; (970) 416-9436
Erlan Kraft
2624 East Douglas Road
Fort Collins CO 80524-
INSURERA,NOHTHLAND INSURANCE CO
INSURERB:
INSURER C:
INSURER0:
INSURER E:
COVERAGES
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,
INSR[ADD11
LYRDTPEOFINSURANCE
POLICYNUMBER
PATEUmEPOATEPID
DMMD
(MDY)
LIMITS
A
GENERAL LIABILITY
TN608143
08/10/2008
08/10/2009
EACH OCCURRENCE
1,000,000
DAMAGE TO RENTED
PREMISES t oocurlonco
5 100,000
}i COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
TN654347
00/10/2009
08/10/2010
MED EXP (Any one rson
a 5,060
PERSONAL 8 ADV INJURY
6 1,000,000
GENERAL AGGREGATE
9 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
T - rOMPIOP AGG
9 0
X POLICY F1JECT LOC
*
AUTOMOBILE
LIABILITY
ANY AUTO
TN608143
08/10/2008
08/10/2009
COMBINED SINGLELIMIT
(En apcide nt)
G 1,000,000
BODILY INJURY
(Par person)
ALL OWNED AUTOS
SCHEOULEDAUTOS
TN654347
08/10/2009
08/10/2010
X
BODILY INJURY
(Per acddent)
8
HIRED AUTOS
NON -OWNED AUTOS
/ /
/ /
PROPERTY DAMAGE
(Per aWdcru)
s
GARAGE LIASILITY
AUTO ONLY - EA ACCIDENT
8
OTHERTHAN EA ACC
$
ANY AUTO
N/A
/ /
/ /
G
AUTO ONLY: AGG
EXCESBIUMBRELLA LIABILITY
N/A
/ /
/ /
EACH OCCURRENCE
$
OCCUR F7 CLAIMS MADE
AGGREGATE
$
8
DEDUCTIBLE
RETENTION 6
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
N/A
TATU_ O7H.
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
9
E.L. DISEASE - EA EMPLOYEE
B
OFFICERIMEMBER EXCLUDED?
/ /
/ /
If Yes, desorlbe Under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
6
A
OTHER CARGO
TN608143
08/10/2008
08/10/2009
10,000
TN654347
08/10/2009
08/10/2010
DEDUCT1LL$ 250
DE5CRIPTION OF OPERATIONWLOCATIONSNEHICLE$IEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
TRUCKERS
CERTIFYCATE HOLDER IS LISTED AS AN ADDITIONAL INSURED
CERTIFICATE HOLDER CANCELLATION
( ) - (970) 221-6707 SHO/ANYIFE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30N NOTICE TO E CERTIFICATE HOLDER NAMED TO THE LEFT, $UT
CITY OF FORT COINS FAILALL IMPOS NO ATION OR LIABILITY OF ANY KIND UPON THE
215 NORTH MASON INSUOR REPRE 1 S.
P.O. 80X cJBO TIU. 0 R RESENTATIVE n
ACORD 25 (2001108)
*I INS025 pioa)m
CO 80522-0580
ELECTRONIC LASER FORMS, INC. -
ACORD CORPORATION 1988
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