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Home My WebLink AboutSTEVEN BETZ - INSURANCE CERTIFICATEACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE 03/(05/2010 PRODUCER STEVENS INSURANCE AGENCY, LLC PO BOX 27 WELLINGTON, CO 80549 970-568-0980 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 STEVE BEITZ TRUCKING LLC 4640 E COUNTY RD 66 WELLINGTON, CO 80549 970-227-5885 INSURERA: PROGRESSIVE INSURANCE INSURER B: PINNACOL ASSURANCE INSURERC: MAX SPECIALTY INSURANCE INSURERD: 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 LTR DD'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS C I X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE FRI OCCUR MAX55894736 03/05/10 03/05/11 EACH OCCURRENCE 51,000,000 PREMISES Ea oCC".nce $ 1 0 0' 0 0 0 MED EXP (Anyone person) $5r 000 PERSONAL &ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG s2,000,000 A X AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS O4402255-0 10/19/09 10/19/10 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILYINJURY (Per person) $ X BODILYINJURY (Peraccident) $ PROPERTY DAMAGE (Peraccident) S GARAGE LIABILITY ANYAUTO AUTOONLY-EAACCIDENT S OTHERTHAN EAACC AUTOONLY: AGG $ S EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE S AGGREGATE S $ $ S BAN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V PROPRIETORIPARTNERIEXECUTIVE OFFICCR/MEMBER EXCLUDED' If yes, describe under SPECIAL PROVISIONS below A5 5 4 5 8 6 4 (7 07 01 / 0 9 0 7/ 01 / 10 TI X ORYLIMITS OER E.L. EACH ACCIDENT 5 100,000 E.L. DISEASE - EA EMPLOYEE 10 0 0 0 0 $ r E.L. DISEASE- POLICY LIMIT 5 0 0 0 0 0 $ r OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED rPPTIFIrATP wnI nFR CANCELLATION CITY OF FT COLLINS PURCHASING DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF IND HFIIFJSURER, ITS AGENTS OR REPRESENTATIVES. 7 FAX: 221-6707 AGUKUZb(ZUUI/Utf) AUTHORIZED REPRES A-M -MnnM ATl/lhl IC100