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HomeMy WebLinkAbout359019 LITTLE BOYS TRUCKING LLC - INSURANCE CERTIFICATE (7)04/02/2010 10:43 9704843210 PAGE 01/01 FUSA(NOLAND JOHN C 121 F SWALLOW RD #115 FT COLLINS, C,0 80525 970-484-3200 Certificate of Insurance [crtificate Holder lnsurcd Additional Insured LITTLE BOYS TRUCbNG, LLC CITY OF'FT COLLINS 2302 STANLEY CT PO BOX.580 FT COLLINS, CO 9052G FT COLONS, C0.80522 P/SiDGRE,I Iff, Policy number: 05351504-1 Underwritran by: ARTISAN AND TRUCKERS CASI,IALTY CO April 2, 2010 Page 1 of 1 Anent ........ .......................................................... �����FUSAINOLAND JQHN C 121 E SWALLOW RD #115 rT COLLINS, CO 8092S 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 CerLikdle i5 i5yued fui irIfurrnatiarr purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ..................................................................................................... .... ....... Polity Effor_tiv? Date: Mar Z5, 2014 Polity fYriratinn natp Mar 75, 7n11 hmirance coverage(s) Lhwm ....................................................."M. B,........,1N" ............................... 90DILY INIURYlPROPERTY DAMAGE $i,000,000 COMBINED SINGLE OMIT UNINSURED/UNDERINSURED MOTORIST $-100,000 COMBINED SINGLE LIMIT Description of Locatian/Vehides/Special Items Scheduled autos only ............. ...... .................................S.tated Amo........ M-o"....,..$'2"8,00-0-0 .. 1991 kW T60 1XKADR9X7MS559220unt..52 MEDICAL PAYMENTS $5,000 COMPRF„HFNSIVE $1,000 DEC) COLLISION $1,000 DED Certificate number 0921ONET504 Please be advised that additional insureds and loss payees will be notified in the event of a mid -tern cancellation. Ram 5241 (10102) FUSAMOLAND JOHN C 121 E SWALLOW RD #115 FT COLLINS, CO 80525 002256 PROGREIRYE' CITY OF FT COLLINS PO BOX 580 FT COLLINS, CO 80522 m�nn�nnnn�nnnnnn�nninn�nninnnnu Additional insured endorsement Name'of Person or Organization CITY OF FT COLLINS PO BOX 580 FT COLLINS, CO 80522 Policy number: 05351504-1 Underwritten by: Artisan and Truckers Casualty Co Insured: LITTLE BOYS TRUCKING, LLC March 27, 2010 Policy Period: Mar 25, 2010 - Mar 25, 2011 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Cleveland, OH 44101 800-444-4487 For customer service, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 05351504-1 Issued to (Name of Insured): LITTLE BOYS TRUCKING, LLC Effective date of endorsement: 03/25/2010 Policy expiration date: 03/25/2011 Fon 1198 (01/04)