HomeMy WebLinkAbout490185 FOOTHILLS TRUCKING LLC - INSURANCE CERTIFICATEACORD'. CERTIFICATE OF LIABILITY INSURANCE
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03MIDD/1ksrzo,2
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
Q1
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INSURERS AFFORDING COVERAGE NAIC#
INSURED
Foothills Trucking LLC
2591 N Shields St
INSURERA: Pinnacol Assurance
41190
INSURER B.
INSURER C
Fort Collins, CO 80524
INSURER D:
INSURER E'
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDNG
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
I
I POLICY EFFECTIVE
j
POLEYEXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DATE(MMIDWYYYY)
DATEIMMIDWYYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MED EXPAny one person)
PERSONAL& ADV INJURY
GEN L AGGREGATE LIMIT APPLIERS PER
GENERAL AGGREGATE
PRODUCTS COMPIOP AGO
POLICY1:1 PROJECT LOG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ee Asritlenl)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
Perperson)
BODILY INJURY
HIRED AUTOS
NON-OWNEDAUTOS
(Foll.itlanl)
PROPERTY DAMAGE
(P.... rtlont)
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
OTHER THAN EAACL
ANY AUTO
AUTO ONLY. AG
E%CESSIUMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
WL STATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
4151930
11/11/2011
11/01/2012
TORY LIMITS
E IF EACH ACCIDENT
$100,000
OFFICERIMEMBER EXCLUDED?
EL DISEASEEAEMPLOYEE
$100.000
If yes. Neasutle no.untler SPECIAL PROVISIONS below
ELDISEASE- POLICY LIMIT
500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1369855
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
PO Box 580
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80522
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
Aundria Martin
ACORD 25(2001108)
Underwriter ACORD CORPORATION 1988