HomeMy WebLinkAboutSAINTS TRUCKING - INSURANCE CERTIFICATE (6)ACDRD TM. CERTIFICATE OF LIABILITY INSURANCE DATE
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PRODUCER Phone! Pffl) 237-1710 Fax 303-237,27'75 THIS CERTIFICATE IS ISSUED AS A MATTER of INFORMATION
TRUCitWRiTER3 OF COLORADO, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1510 GLEN AYR DR STE 6 NDI.DFR. THIS (I RTIFICATE DOES NOT AMEND, EXTGND OR
LAKEWOOD CO 802163061 ALTER THE COVERAGE AFFORDED 9Y TH!F PnI ICIFS RPI nw
INSURED
SAINTS TRUCKING, LLE;
4502 HIBISCUS
FORT COLLINS CO 00526
INSURERS AFFORDING COVERAGE
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�INSUFIERA: WILSHIRE INSURANCE COMPANY 13234 _
INSURER B:
INSURER C;
INSIIRFR n
INSURER E;
TWF POLICIES OF INSURANCE USTLD BELOW HAVE BEEN IEEUED TO THE INCUItCD NAMCD ADOV[ f OR n IC POLICY PCRIOC INDICATED, NOTWITHBTANDINO
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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS.
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Non " TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PaLIDYZ1.
LTR INS
LIMITS
DATE M DATE
GENERAL LUUMUTY BAUN623 08/01109
08101JIG
�EACH OCCURRENCE
I6
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTEDPREMISES
s
„1,000,000
50,000
CLAIMS MADE IF 11 OCCUR
I[o occurmcdl_ „_„
MED. EXP (Anyone person)
, s
5,000
A
PERSONAL & AOV INJURY
1$
1,000.000
—I
GENERALACiGRErjATE
IS
'L,UOV,000
I GEN'L AGGREGATE LIMIT APPLIES PER: I
PRODUCTS-COMPIOP AGG,
S
2,000,000
I- - PRO
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POLICY JECT I : LOC
AUTOMOBILE LIABILITY
—
I BA2424623
08/01/09 1 08101/10
[CFOM78INED SINGLE LIMIT
I
ANY AUTO
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s
1,000,000
_j ALL OWNED AUT09
I DODILY INJURY ......
X SCHEDULED AUTOS
$
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HIRED AUTOS
L—,
BODILY INJURY
ig
NON -OWNED AUTOS
I I (Per ent)
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PROPERTY DAMAGE
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Pnr *m~
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
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ANY AUTO
OTHER THAN EA ACC...—
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AUTO ONLY: AGG i S
EXCESS I UMBRELLA UAWU'IY
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EACH OCCURRENCE
is
OCCUR I I CLAIMS MADE
AGGREGATE
S
i
$
DEDUCTIBLE
_
RtTCNY,ON $
6
WORKERS' COMPENSATION AND
WC ORSTATU. OTHER
TY LIMiTB�--.
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
S
AM'fWOnFa:TORIPANYN�
oFFiCER1MEMBEREXCtUDED7
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E.L. DISEASE -EA EMPLOYEE
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SPECIAL PROVISIONS Eelar
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E,L. 01SEASE-POLICY LIMIT
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OTHER'
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DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIUNS
FAX: 970-221.6707
PER SCHEDULE OF VEHICLES ON FILE WITH THE INSURANCE COMPANY
CERTIFICATE MULDER IS LIS I W AS AN ADDITIONAL INSURED ON THE ABOVE POLICY,
CITY OF FORT COLLINS
DIRECTOR OF PURCHASING S RISK MGMT
216 N MASON, 2ND FL
FORT COLLINS CO 80522
Aaemion:
AI-r115r% N! l9flfl4 /R0%
0-41AMMn * 1DRhA
SHOULD ANY OF THE A30VE DESCRIBED POLICIES BE CANCELLED 8FFOAFTHE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL IQ DAYS
WRITT[N NOTIOC TO TI IC CERTIFICATE HOLDER NAMED TO THE LEFT, RI IT FAII I IRF
TO 00 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
in AGENTS OR REPRESENTATIVES,
Brian Paulson
A ACORD CORPORATION 1S
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confei rights to the certificate holder In Ileu of such endorsement(S).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the pnliny, nertain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (200108) cernncace WJabua