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Home My WebLink AboutDOUBLESTROKE TRUCKING LLC - INSURANCE CERTIFICATE (6)Client#: 51490 DOUTR ACORD. CERTIFICATE OF LIABILITY INSURANCE F DATE(MM OD'YYY) 4/19/2013 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT Beth Isakson NAME: PHONE 970 356-0123 970 506-6850 A/C No A/C, No: .1 AooREss: bisakson@floodpeterson.com CUSTOMER 10 a: INSURERS) AFFORDING COVERAGE NAICIt INSURED Doublestroke Trucking LLC 1200 Crest Ct INSURER A: Great West Casualty INSURER B: ' Windsor, CO 80550 INSURER C: INSURER D: INSURER E : INSURER 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 LUL TYPE OF INSURANCE DDL U DR POLICY NUMBER POLJMMuICY POLICY E P1111L IJMRS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR GWP86978C 5/23/201305/23/201 EACH OCCURRENCE $1000000 RENTED — PREMISES Ea occurrence) $100 000 MED EXP (Anyone person) $5 OOO PERSONAL A ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY F7 LIMIT APPLIES PER: PRO- JECTLOC PRODUCTS - COMP/OP AGG s2000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GWP86978C. 5/23/2013 05/23/2014 COMBINED SINGLE LIMIT (Ea accident) $1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ]XX PROPERTY DAMAGE (Per accident)$ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ OECUCTIBLE RETENTION - $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOFVPARTNERIEXECUTIVE❑ M OFFICERIMEBER EXCLUDED? (Mandatory In NH) II yes, desdbe under DE SC RIPTION OF OPERATIONS below NIA WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ EL.DISEASE - POLICY LIMIT 9 A Broad Form Cargo GWP86978C 5/23/2013 05/23/201 $10,000 per Unit $1 000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more spelt is required) City of Fort Collins is listed as an Additional Insured in regards to the General Liability and Auto Liability. City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. m 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 oft The ACORD name and logo are registered marks of ACORD #S779631/M779627 AXN