HomeMy WebLinkAbout168310 SCHRADER OIL CO - INSURANCE CERTIFICATE (2)THIS 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COI
L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DDNY)
UNITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
9802184
06/30/12
06/30/13
GENERAL AGGREGATE
S 21,000000
X
PRODUCTS - COMP/OPAGG
$ 2000000
PERSONAL & ADV INJURY
$ 1 000 000
EACH OCCURRENCE
$ 11000,000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$
A
AUTOMOBILEUABIUTY-
ANY AUTO ,.
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS.
.
NON -OWNED AUTOS
...:.'.J ...
9802184
--'COMBINED
-
.
06/30/12
-r. :.
- 06/30/13
.._.BODILY
.1 -
SINGLE LIMIT --'
$ 1 ,000;000
X
BODILY INJURY
(Per Person)
X
INJURY
(Per acaieent)
,•
X
PROPERTY DAMAGE
$ -
GARAGE UABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
S
AGGREGATE
9
A
EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
9802185
06/30/12
06/30/13
EACH OCCURRENCE
$ 41000,000
AGGREGATE
4 4 000 000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC STAT
T RV IMIOTM
T U- ER
CL-EACH ACCIDENT
EL DISEASE -POLICY LIMIT
$
EL DISEASE - EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS
CITY OF FORT COLLINS 65 SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE
PO BOX 580 EX�nRRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
J FORT COLLINS CO 80522 AL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 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