HomeMy WebLinkAbout168310 SCHRADER OIL CO - INSURANCE CERTIFICATETHIS IS TO CERTIFY THAT 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,
CO
TH
TYPE OF INSURANCE
POUCY NUMBER
POLICY EFFECTIVE
DATEIMMIDDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
UNITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � OCCUR
OWNER'S & CONTRACTOR'S PROT
9802184
06/30/11
06/30/12
GENERAL AGGREGATE
s 21000,000
X
PRODUCTS - COMP/OP ASS
$ 2,000,000
PERSONAL & ADV INJURY
$ 11000,000
EACH OCCURRENCE
s 1,000,000
FIRE DAMAGE IAny one tire)
$ 100,000
MED EXP IAny one person)
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS.
'
NON -OWNED AUTOS'
9802184
- -- - ..
06/30/11.
-'
06/30/12
-..� -
COMBINED SINGLE LIMIT
$ .1,000,000�
X
BODILY INJURY /-
Pef pefSO")
-
e
X
.. ODILY., "'-._...-
B_.INJURY -
1Per.acciUentF
5 .
X
PROPERTY DAMAGE
5
AGE LIABILITY
AUTO
I
AUTO ONLY - EA ACCIDENTANY
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AUMBRELLA
UABILITY
FORM
OTHER THAN UMBRELLA FORM
9802185
06/30/11
06/30/12
EACH OCCURRENCE
$ 4 UUUUUU
FEES
AGGREGATE
s 41000,000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC STATE- OTH
TORY LIMITS I I ER
EL EACH ACCIDENT
e
EL DISEASE -POLICY LIMIT
e
EL DISEASE- EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPENATIONSILOCATIONS/VEHICLESISPECIAL ITEMS
CITY OF FORT COLLINS 65 1 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
PO BOX 580 _ , - _ . ,, EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
�
FORT COLLINS CO 80522 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ��