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HomeMy WebLinkAboutDOUBLESTROKE TRUCKING LLC - INSURANCE CERTIFICATE (3)POLICY NUMBER: GWP86978A J� THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL AUTO COVERAGE PART The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured Endorsement Effective DOUBLESTROKE TRUCKING LLC MARCH 7 2012 Endorsement Number GREAT WEST CASUALTY COMPANY 6 FLOOD & PETERSON INSURANCE INC 0560 SCHEDULE Policy Expiration Date: MAY 23 2012 Name of Additional Insured: CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 Description of Covered "Auto(s)": APPLIES TO ALL TRUCKS, TRACTORS & TRAILERS OWNED, LEASED, HIRED, RENTED, OR BORROWED WHICH ARE USED BY THE NAME INSURED. A. Section II - Liability Coverage, Paragraph A. Coverage, Subparagraph 1. Who is an Insured is changed to include as an "insured" the person or organization shown in the SCHEDULE on this endorsement only if they are liable for the conduct of an "insured" shown in the Who is an Insured provisions and only to the extent of that liability. B. Coverage provided by this endorsement applies to 'auto(s)" described in the SCHEDULE on this endorsement. C. The coverage provided by this endorsement ends when the Additional Insured is not liable for your conduct or the Policy Expiration Date, whichever occurs first. D. The Additional Insured shown in the SCHEDULE on this endorsement is covered for an amount up to the Limit of Insurance required in an agreement with you or the policy's Limit of Insurance, whichever is less. CA 49 0104 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Copyright, Insurance services Office, Inc., 1986 POLICY NUMBER: GWP86978A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured Endorsement Effective DOUBLESTROKE TRUCKING LLC MARCH 7 2012 Endorsement Number GREAT WEST CASUALTY COMPANY 6 FLOOD & PETERSON INSURANCE INC 0560 SCHEDULE Policy Expiration Date: MAY 23 2012 Name of Person or Organization, (Additional Insured): CITY OF FORT PO BOX 580 FORT COLLINS COLLINS CO 80522 A. Who is an Insured is changed to include as an C. The Additional Insured is covered for an amount additional insured the person(s) or organization(s) up to the Limit of Insurance required by an shown in the SCHEDULE on this endorsement but agreement you have with them or the policy's only to the extent that the liability arises: Limit of Insurance, whichever is less. 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you; and only to the extent that the additional insured is vicariously liable for your conduct. B. The coverage provided by this endorsement shall be subject to all the terms, conditions, and exclusions of the policy and all endorsements attached thereto. D. Any coverage provided by this endorsement is excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent, or on any other basis unless the contract or agreement you have with them requires that this insurance be primary. CG 49 04 07 10 Includes copyrighted material Insurance services Office, Inc. with its permission. Page t of 1 Copyright, Insurance Services Office, Inc., 2004