HomeMy WebLinkAbout320027 O'NEILL TRUCKING LLC - INSURANCE CERTIFICATE (8)Apr 02 10 10:57a High Country Truck Ins 3036971699 p.1
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PRODUCER
High Country Truck Insurance
P.O. BOX 659
Morrison CO
INSURED
C'NEILL TRUCKING LLC
12378 N. CO. RD. 7
WELLINGTON, CO 80549
CERTIFICATE OF LIABILITY INSURANCE 1
DA212812010
Phone THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
303�97-6099 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Fax ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
80455 303-697-1699
INSURERS AFFORDING COVERAGE I NAIC #
INSURERAPROGRESSIVE CASUALTY
INSURER a
INSURER C:
INSURER D
INSL RER E:
C.0 V tf(AO CJ
THE POLICIES OF INSURANCE LISTED BELOW? HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS—ANCING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH!CH -HIS 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.
NSR Pam'
POLICY NUMBER
POLICY EDAI9 FM1 FECTIVE ICA
POLICYTE MEMXPPIRATION UNITS
GENERAL LIABILITY
EAC V --9TC RENCE S
COMMERCIAL GENERAL LIABILITY
i REnr D
aNN1G
PREMI ES Ee occurrence S
CLAIMS MADE u OCCUR
MED EYP (Any one pefsoM S
PERSONAL S ADV INJURY 1 E
GENERALAaC,WSGATE S
PRCOUCTS- COMPiOP AGG S
GENt AG 3R EGATE I -Ill APPU ES PER:
POLICY PRO- LOD
AUTCfIiOBILELIABILITY
D531854-7-1 2128,12010
COMM--DSINGLELIMIT
3 1,000,000
A
(Ea aoeicenf.
ANY Auro
PHY;DAM $100 DED.
ALL OWNED AUTOS
BODILY INJURY
S
X
(Per person)
SCHEDULEDAU70S
HIRECA.UTOS
BODILYINJJRY
S
(Pa., accident)
NON -OWNED AJTOS
PROPERTY DAMAGE
S
•
(Per accicent)
GARAGELIABILITY
AUTCONLY -EAACCDENT
3
OTHER THAN EA .ACC
s
ANY AUTO
S
.
AUTC•ONL�: AGG
EXCESS I UMBRELLA LIABILITY
EACF OCCURRENCE
IS
AGGREGATE
5
OCCUR CLA US MADE
S
9
DEDUCTIBLE
1
b
RETENTION S
I
I
WORKERS COMPENSATION
'
I
VYr,
OR STATU- OTH-
AND EMPLOYERS' LIABILITY Y 1 N
.ANY PRO PRIETOILPA RT NERI EXECUTIVE
EL EACH ACCICENT
EL. DISEASE - EA EMPLOYEE 3
OFFICER94ILNUER EXCL'J•CEW ❑
IMandalory in NH)
EL DISEASE-POUC�LI•a-_
If yyes• dlea rite eider
SPECAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS f LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED
%,c m I Ir wn I r- nv 11J Cn
I r �N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TW EXPIRATION
CITY OF FT. COLLINS
DATE THEREOF, THE ISSUING INSURER PALL ENDEAVOR TO MAIL 10 DAYS WRITTEN
215 N. MASON ST.
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU-FAILURE TO DD SO SHALL
FT. COLLINS, CO 80526
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
970-221-6707
REPRESENTATIVES.
ATTN: JENNY BECK OR JOHN STEVENS
AUTHORIZED REPRESENTATIVE D
ACORD 25 (200911011
Q 1988-2009 ACORD CbAPORA'AON. All rig T reserved.
The ACORD name and logo are registered marks of ACORD