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HomeMy WebLinkAbout112307 E & L L TRUCKING - INSURANCE CERTIFICATE11/01/2012 15:21 9704930226 PAGE 01/02 -x.-•- Gary Cramer State Farm Insurance 1275 E. Magnolia A, Fort Collins CO 80524 Ph (970) 484-1374 Fx (970) 493-0226 gary.cramer.b68o@statefann.com kristy.marsh.r104@statefarm.com TO: John 5�e hen From: Kristy Mush Fax: 221-6ZQZ Date: 1 12 RE: E L L Trucking No :Give me a call if ou v uestions Thanks so c is lease note th dat s are current and are t e fired. 11/01/2012 15:21 9704930226 PAGE 02/02 CERTIFICATE OF LIABILITY INSURANCE DATE 11/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(les) must be endorsed. It SUBROGATION IS WAIVED, subject DD the terms and conditions of the policy, certain pollcles may require an endoreemem. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PROOUCER Gary Cramer State Farm E Magnolia Unit 1 w : Kris Marsh PHO1275 4?4. 7 FAX N 7 E IL-krlstxlrrarsh.r104�statefarm.mm Fort Collins, CO 80524 ---- INSURE 8 AFFORDING COVEPAGE NAIC! INSURER A: INSURED E & LL TRUCKING INC INSURER a; 941 E 4TH ST INSURERC: LOVELANDCO 80537-5735 INSURERD: INSURER 6: NS RE F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TR TYPEOFINSURANCE ADM INSA gum POLICY NUMBER POUCY EFF DO POLICY E LIMITS GENERAL LIABILITY Y EACH OCCURRENCE S 1,000.000 PREMISES Es owurron e $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSIIWDE ❑ OCCUR MEO EXP Any one person $ 5.000 PERSONAL&ADV INJURY $ 2.000.000 96-83-TS61-4F 1111212011 1111212012 GENERAL AGGREGATE S 2.000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ $ POLICY PRO LOC AUTOMOBILE UABILm' Y ❑ NG E L Mn e Rcri<1enU $ BODILY INJURY(Per person) $ 7000DOO My AUTO 153 $9S7-F24-0BJ-001 08114/2012 OBH4/20t3 BODILY INJURY (Per egclderri) $ 1000,000 X ALL OSCHEDULED AUTOS NCIN,On EO HIRED AUTOS AUTOS 153 5990-F24-063-001 0612912012 12f29/2012 PROPERn o Per ac wrtI E 1.000.000 e UMBRELLA LMB OCCUR EACH OCCURRENCE 5 AGGREGATE $ EXCESSI" CLAIMS -MADE 0E0 RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' UA81UN YIN ANY PROPRIETORPARTNER/EXECU IVE O OFFICErIEEMBER EXCLUDED? IManaamryin NX) NIA ❑ - OTM- T Y I E L. EACH ACCIDENT _ -- '--_--' E.L. DISEASE - EA EMPLOYE $ $ E. L. DISEASE - POLICY LIMIT $ n yen, avewAe antler DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101. AIIOihonal RomaM BnDeCNe, If mnrc>•Woe0 rcgmrcKl 93 PETERBU-T 378 88 PETERBILT 376 DUMP DUMP VIN: IXPF029X3JD264445 VIN: IXPFDR9X5PD324128 CFRTIFICATF Him nFR CANCELLATION CITY OF FORT COLLINS PURCHASING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N MADISON ST 2ND FLOOR ACCORDANCE WITH THE POLICY PROVISIONS, FORT COLLINS, CO 80524 AUTHORIZED REPRESENTATIVE (P1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010