HomeMy WebLinkAboutFAIRCHILD TRUCKING - INSURANCE CERTIFICATE (2)Mar 12 2010 10:04AM DENNISBREITBRRTH 9706635807 P.1
46 9-6Qal
CERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, eloornington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
Insures the following policyholder for the coverages indicated below
Name of policyholder Fairchild Trucking, LLC
Address of policyholder 925 Turman Drive
Fort Collins, CO 80525
Location of operations COLORADO
Descriptiori of operations
The policies listed below have been issued to the policyholder for the policy periods shown_ The insurance described in these policies is
subiad to all the terms excluRinra_ and mnditiene nftt� nnlieJpc_ Thr± la rife of liah�lifv ehnuin e.wv h� r,00., roei�.rnA �,� e.,...,�r� ..�s..,�
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date rgtion Dane
LIMITS Of LIABILITY- - - -
at beginning of policy period)
Comprehensive
BODILY INJURY AND
Business Liability
PROPERTY DAMAGE
This insurance includes: ❑ Products - Completed Operations
❑ Conbacituai Liability
❑ Underground Hazard Coverage
Each Occurrence $
0 Personal Injury
❑ Adwertising Injury
general Aggregate $
❑ Explosion Hazard Coverage
Products - Completed
❑ Collapse Hazard Coverage
Operations AggragaW $
❑ General Aggregate Limit applies to each project
EXCESS LIABILITY
POLICY PERIOD,;::
130DILY INJURY AND PROPERTY DAMAGE
Effective Data E Watl011 Dat9
(COmb rreO
❑ t9mbrega
Each Occurrence. $
0 tither
A $ .. _..... _. _
Part 1 STATUTORY
Part 2 BODILY INJURY
workers• Compensation,
and Employers Liability
Each Accidert $
Disease Each Employee $
Disease - Policy LHnit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Dais tration Date
LIMITS OF LIABILITY
at beginning of policy peftod)
1
11 9
11 0 0
1 Million
Name and Address of Cerfifrcate Holder
-City of Fort-Collins_......-
215 N. Mason St _
Fart Collins, CO 8.0522
t WO94 a 2-00 Pditd in V.S.A
IT any or me oescriaea policies are canceled before its
expiration date, State Farm will try to mail a written notice to
the certificate holder 10 days before canoellation. If,
however, we fail to mail such notice, no obligation or liability
will be imposed on State Farm or Its agents or
representatives.
-Title