No preview available
HomeMy WebLinkAbout127666 MICHAEL TRUCKING - INSURANCE CERTIFICATE (15)AGO RD CERTIFICATE OF LIABILITY INSURANCE on elMMroon0]M/DD' v) 1 PRODUCERPINASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 501 Lowry Blvd 7501 E o Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: PINNACOL ASSURANCE 41190 DWIGHT J MICHAEL DBA MICHAEL TRUCKING INsuaea a: 2450 W. Elizabeth Street Fort Collins, CO 80521 INSURER CINSURER INSURER D: INSURER E' COVERAGES 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 DOCUMMENT 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL POLICY EFFECTIVE POLICYEXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MM)DMYY) DATEMMNDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR PREMISES MEDEX An o PERSONAL B ADV INJURY GEN L AGGREGATE LIMIT APPLIERS PER: GENERALAGGREGATE PRODUCTS-COMP/OP ADS POLICY PROJECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO Ea Accident) BODILYINJURY ALL OWNED AUTO$ SCHEDULEDAUTOS Par P..n BODILY INJURY HIRED ALTOS NDN-0WNEDAUTOS Pn ecc'Jenl PROPERTY DAMAGE (PerecclEant) GARAGE UABILRY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC MY AUTO AUTO ONLY. AGO E%CESSNYBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER ECUnVE 4149369 07/13/2011 07/01/2012 TORYUMITS E.L EACH ACCIDENT $100,000 OFFICERtT,EMBER E%CLUOEDi EL DISEASE -EA EMPLOYEE $,pp,ppp If yea. Pleaae deamoe uWsr SPECIAL PROVISIONS Eebw E.LMSEA$E-POUCYLIMIT pop OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHIC LESIEXC LUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1323949 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JOHN STEVENS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 215 NORTH MASON ST. MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80524 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Courtney Prusse ACORD 25(2001108) New Business Representative ACORD CORPORATION 1988